Document Detail

The proximal biceps as a pain generator and results of tenotomy.
MedLine Citation:
PMID:  18703979     Owner:  NLM     Status:  MEDLINE    
Many palliative interventions have been proposed for patients in whom rotator cuff repair is not feasible as a result of advanced fatty infiltration, definitive loss of tendons, and proximal humeral migration. The long head of the biceps tendon has been proposed as a source of pain in patients with rotator cuff tears. This article presents a review of current concepts on the rationale for arthroscopic biceps tenotomy or tenodesis, and evaluates the objective, subjective, and radiographic results of these palliative procedures. On the basis of different studies, it seems that isolated arthroscopic biceps tenotomy or tenodesis is a valuable option for the treatment of rotator cuff tears in selected patients. Although it does not improve shoulder strength, tenotomy or tenodesis reduces pain and improves the functional range of motion with a high degree of patient satisfaction. However, the progressive radiographic changes that occur with long standing rotator cuff tears are not altered.
Istvan Szabó; Pascal Boileau; Gilles Walch
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Sports medicine and arthroscopy review     Volume:  16     ISSN:  1538-1951     ISO Abbreviation:  Sports Med Arthrosc     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-15     Completed Date:  2008-10-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9315689     Medline TA:  Sports Med Arthrosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  180-6     Citation Subset:  IM    
Department of Orthopedic Surgery, Medical School, University of Pécs, Pécs, Hungary.
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MeSH Terms
Arthroscopy / adverse effects,  methods*
Follow-Up Studies
Muscle, Skeletal / physiopathology,  surgery
Orthopedic Procedures / adverse effects,  methods
Pain Measurement
Range of Motion, Articular / physiology
Risk Assessment
Rotator Cuff / injuries*,  surgery*
Shoulder Joint / injuries,  surgery
Shoulder Pain / etiology,  surgery*
Tendon Injuries / complications,  diagnosis,  surgery*
Tenodesis / adverse effects,  methods*
Treatment Outcome

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

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