| Arthroscopic release of the long head of the biceps tendon: functional outcome and clinical results. | |
| | |
MedLine Citation:
|
PMID: 15701606 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Treatment of chronic, refractory biceps tendinitis remains controversial. The authors sought to evaluate clinical and functional outcomes of arthroscopic release of the long head of the biceps tendon. HYPOTHESIS: In specific cases of refractory biceps tendinitis, site-specific release of the long head of the biceps tendon may yield relief of pain and symptoms. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Fifty-four patients diagnosed with biceps tendinitis underwent arthroscopic release of the long head of the biceps tendon as an isolated procedure or as part of a concomitant shoulder procedure over a 2-year period. Patients were not excluded for concomitant shoulder abnormality, including degenerative joint disease, rotator cuff tears, Bankart lesions, or instability. Nine of 40 patients had an isolated arthroscopic release of the biceps tendon. At a minimum of 2 years, the American Shoulder and Elbow Surgeons; the University of California, Los Angeles; and the L'Insalata shoulder questionnaires as well as ipsilateral and contralateral metrics were used for evaluation. RESULTS: The L'Insalata; University of California, Los Angeles; and American Shoulder and Elbow Surgeons scores were 77.6, 27.6, and 75.6, respectively. Seventy percent had a Popeye sign at rest or during active elbow flexion; 82.7% of men and 36.5% of women had a positive Popeye sign (P < .05); 68% were rated as good, very good, or excellent. No patient reported arm pain at rest distally or proximally; 38% of patients complained of fatigue discomfort (soreness) isolated to the biceps muscle after resisted elbow flexion. CONCLUSION: Arthroscopic release of the long head of the biceps tendon is an appropriate and reliable intervention for patients with chronic, refractory biceps tendinitis. Cosmetic deformity presenting as a positive Popeye sign and fatigue discomfort were the primary complaints. CLINICAL RELEVANCE: Although tenotomy is not the ideal intervention for patients of all ages with various shoulder abnormalities, data suggest that it may be an acceptable surgical intervention for a specifically selected cohort of individuals. |
| | |
Authors:
|
Anne M Kelly; Mark C Drakos; Stephen Fealy; Samuel A Taylor; Stephen J O'Brien |
Related Documents
:
|
16831646 - Painful os acromiale (or unfused acromial apophysis) in athletes. 3573446 - A laterally rotating surgical device attached to the operating table. 2016606 - Postoperative proximal migration in total shoulder arthroplasty. incidence and signific... 22127486 - Technical considerations in children undergoing laparoscopic ileal-j-pouch anorectal an... 18694916 - Complex extensor tendon injuries: early active motion following single-stage reconstruc... 15810056 - Medium-term results of vertical reduction rectoplasty and sigmoid colectomy for idiopat... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The American journal of sports medicine Volume: 33 ISSN: 0363-5465 ISO Abbreviation: Am J Sports Med Publication Date: 2005 Feb |
Date Detail:
|
Created Date: 2005-02-09 Completed Date: 2005-04-19 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 7609541 Medline TA: Am J Sports Med Country: United States |
Other Details:
|
Languages: eng Pagination: 208-13 Citation Subset: IM |
Affiliation:
|
Sports Medicine and Shoulder Service, Hospital for Special Surgery, Cornell Medical Center, New York, New York, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Arthroscopy Female Humans Male Middle Aged Shoulder Joint Tendinopathy / surgery* Tendons / surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The drop-jump screening test: difference in lower limb control by gender and effect of neuromuscular...
Next Document: Effect of cyclic loading on new polyblend suture coupled with different anchors.