Rotator cuff repair with or without proximal end detachment for long head of the biceps tendon tenodesis

• Published in: Clinics in Shoulder and Elbow Vol. 25; no. 2; pp. 101 - 105
• Main Authors: Mardani-Kivi, Mohsen, Asadi, Kamran, Izadi, Amin, Leili, Ehsan Kazemnejad
• Format: Journal Article
• Language: English
• Published: Korea (South) 대한견주관절의학회 01.06.2022; Korean Shoulder and Elbow Society; 대한견주관절학회
• Subjects: Original; rotator cuff injuries; shoulder joint; tenodesis; 정형외과학; Rotator cuff injuries; Tenodesis; Shoulder joint
• ISSN: 2383-8337; 2288-8721
• DOI: 10.5397/cise.2021.00493

Rotator cuff tears cause pathologies of the long head of the biceps tendon (LHBT). One of the surgical treatments for such a tear is LHBT tenodesis to the humerus. This study aims to compare simultaneous rotator cuff repair and LHBT tenodesis with or without detachment of the proximal end of the LHBT (PELHBT) from its site of adhesion to the glenoid. This retrospective study involved patients affected by LHBT pathology with rotator cuff tear. The patients were divided into two groups, with or without PELHBT detachment from the glenoid. Therapeutic outcomes were investigated by evaluation of patient satisfaction, pain based on visual analog scale, shoulder function based on Constant score and simple shoulder test, and biceps muscle strength based on the manual muscle testing grading system before surgery, at 6 months, and at the final visit after surgery. Groups 1 and 2 comprised 23 and 26 patients, respectively, who showed no significant differences in demographic characteristics (p>0.05). Shoulder function, biceps muscle strength, pain, and satisfaction rate improved over time (p<0.05) but were not significantly different between the two groups (p>0.05). No post-surgical complication was found in either group. There was no difference in final outcomes of tenodesis with or without detachment of the PELHBT from the supraglenoid tubercle. Such tendon detachment is not necessary.