Prospective study of three surgical procedures for long head biceps tendinopathy associated with rotator cuff tears.

PURPOSE simple tenotomy in the treatment of long head biceps (LHB) lesion offers good results, as well as tenotomy/tenodesis. MATERIALS AND METHODS we prospectively evaluated 252 patients, divided into 3 groups, treated with rotator cuff repair associated with LHB tenotomy or 2 different types of tenodesis in cases where there had been a partial lesion of the LHB or instability of the bicipital groove. We ascertained whether there was residual pain and the presence of the "Popeye sign" in the post-operative stage. RESULTS patients who underwent tenotomy alone achieved an improvement on the Visual Analogue Scale (VAS), Simple Shoulder Test (SST) and modified UCLA shoulder rating compared to patients who underwent LHB tenodesis. A positive Popeye sign is poorly perceived by patients. CONCLUSION we considered the LHB tenotomy as treatment of choice for the rotator cuff surgical repair when there was an evident LHB lesion.

[1]  S. Mair,et al.  Tendinopathy of the long head of the biceps. , 2012, Medicine and sport science.

[2]  V. Denaro,et al.  Tendinopathy of the Tendon of the Long Head of the Biceps , 2011, Sports medicine and arthroscopy review.

[3]  F. Oliva,et al.  Short-term effectiveness of bi-phase oscillatory waves versus hyperthermia for isolated long head biceps tendinopathy. , 2011, Muscles Ligaments and Tendons Journal.

[4]  C. Tuncay,et al.  Clinical and isokinetic comparison between tenotomy and tenodesis in biceps pathologies. , 2011, Acta orthopaedica et traumatologica turcica.

[5]  Peter J Millett,et al.  Anatomy, function, injuries, and treatment of the long head of the biceps brachii tendon. , 2011, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[6]  Paul B. Lewis,et al.  Biceps tenotomy versus tenodesis: a review of clinical outcomes and biomechanical results. , 2011, Journal of shoulder and elbow surgery.

[7]  N. Maffulli,et al.  Tenotomy versus Tenodesis in the Management of Pathologic Lesions of the Tendon of the Long Head of the Biceps Brachii , 2009, The American journal of sports medicine.

[8]  Mark A Kevern,et al.  Long head of the biceps tendon pain: differential diagnosis and treatment. , 2009, The Journal of orthopaedic and sports physical therapy.

[9]  G. Fama,et al.  La patologia del capo lungo del bicipite , 2008 .

[10]  Paul B. Lewis,et al.  Biceps tendinitis in chronic rotator cuff tears: a histologic perspective. , 2008, Journal of shoulder and elbow surgery.

[11]  G. Walch,et al.  The Proximal Biceps as a Pain Generator and Results of Tenotomy , 2008, Sports medicine and arthroscopy review.

[12]  P Boileau,et al.  The long head of biceps and associated tendinopathy. , 2007, The Journal of bone and joint surgery. British volume.

[13]  P. Boileau,et al.  Isolated arthroscopic biceps tenotomy or tenodesis improves symptoms in patients with massive irreparable rotator cuff tears. , 2007, The Journal of bone and joint surgery. American volume.

[14]  T. B. Edwards,et al.  Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears: clinical and radiographic results of 307 cases. , 2005, Journal of shoulder and elbow surgery.

[15]  G. Walch.  The biceps tendon , 2002 .

[16]  K. Speer,et al.  The cosmetic appearance of the biceps muscle after long-head tenotomy versus tenodesis. , 2002, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[17]  T. Gill,et al.  Results of biceps tenotomy for treatment of pathology of the long head of the biceps brachii. , 2001, Journal of shoulder and elbow surgery.

[18]  Joseph P. Iannotti,et al.  Disorders of the Shoulder: Diagnosis and Management , 1999 .

[19]  W. Burkhead.  Rotator cuff disorders , 1996 .

[20]  C. As,et al.  Evaluation and treatment of biceps tendon pathology. , 1993 .

[21]  S. Snyder,et al.  Evaluation and treatment of biceps tendon pathology. , 1993, The Orthopedic clinics of North America.

[22]  P. Benca,et al.  Primary tendinitis of the long head of the biceps. , 1989, Clinical orthopaedics and related research.

[23]  P. Habermeyer,et al.  [Functional anatomy and biomechanics of the long biceps tendon]. , 1987, Der Unfallchirurg.

[24]  A. Depalma,et al.  Bicipital tenosynovitis. , 1954, Clinical Orthopaedics.