Document Detail


Biceps tenodesis for long head of the biceps after auto-rupture or failed surgical tenotomy: results in an active population.
MedLine Citation:
PMID:  25174939     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Long head of the biceps (LHB) deformity after surgical tenotomy or auto-rupture may result from attrition or injury. The purpose of this study was to describe the surgical outcomes of biceps tenodesis after failed surgical tenotomy or auto-rupture of the LHB tendon in a population of active patients.
METHODS: During a 5-year period, 11 patients with a mean age of 43.3 years (range, 33-56 years) presented with symptoms of biceps cramping with activity (100%), deformity (100%), or pain (36%) at a mean of 8 months (range, 0.5-22 months) from a tenotomy (6 of 11) or an auto-rupture (5 of 11). All patients underwent a mini-open subpectoral biceps tenodesis with interference screw fixation. Patients were independently evaluated by patient-reported outcome measures (Single Assessment Numeric Evaluation [SANE] and Western Ontario Rotator Cuff Index [WORC]) and a biceps position examination.
RESULTS: Of the 11 patients, 10 (91%) completed the study requirements at a mean of 2.6 years (range, 1.6-4.2 years). A total of 9 of the 10 patients (90%) returned to full activity. The mean preoperative SANE score was 61.1 (standard deviation [SD], 8.8), and the mean preoperative WORC score was 53.2 (SD, 9.2), which improved postoperatively to a SANE score of 84.2 (SD, 7.1) and a WORC score of 86 (SD, 8.2). There were no differences in LHB muscle position relative to the antecubital fossa (3.17 cm preoperatively to 3.25 cm postoperatively; P = .35). Deformity was resolved in all patients; 9 of 10 patients reported full resolution of cramping, and pain was resolved in 8 of 10.
CONCLUSIONS: LHB tenodesis after auto-rupture or surgical tenotomy improved symptoms and allowed predictable return to activity and patient satisfaction. Additional work is necessary to determine the optimal treatment of primary biceps lesions.
Authors:
Shawn G Anthony; Frank McCormick; Daniel J Gross; Petar Golijanin; Matthew T Provencher
Related Documents :
25459239 - Brain natriuretic peptide level on admission predicts recurrent stroke after discharge ...
22150139 - Correction of myopathic blepharoptosis by check ligament suspension: clinical evaluatio...
25227239 - Pulmonary embolectomy in the treatment of submassive and massive pulmonary embolism.
22124309 - Intracranial hemorrhage associated with vitamin k deficiency bleeding in biliary atresi...
25262249 - Transcatheter aortic valve replacement: historical perspectives, current evidence, and ...
22054799 - Impact of ultra-early coiling on clinical outcome after aneurysmal subarachnoid hemorrh...
22995399 - Non-elective percutaneous nephrostomy (pcn) service in a tertiary uroradiology centre: ...
16537689 - Health-related quality of life after intensity modulated radiation therapy for localize...
19691779 - Efficacy of laparoscopic radiofrequency ablation for hepatocellular carcinoma compared ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-8-28
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  -     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-9-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Association between temporal mean arterial pressure and brachial noninvasive blood pressure during s...
Next Document:  Construction of supramolecular organogels and hydrogels from crown ether based unsymmetric bolaamphi...