Results of Biceps Tenotomy in The Treatment of Shoulder Impingement and Rotator Cuff Tears

Objective: Outcomes of biceps tenotomy with surgical treatment of rotator cuff tears and subacromial impingement was evaluated. Materials and Methods: Twenty-three shoulders were evaluated. Average age was 55.1 and patients were followed up meanly for 32.6 months. Patients were randomized into 4 groups according to their diagnosis and surgical treatment. Group 1 had 5 shoulders subacromial decompression performed alone, group 2 had 7 shoulders with additional biceps tenotomy. Group 3 had 5 shoulders subacromial decompression and rotator cuff repair performed, group 4 had 6 shoulders with additional biceps tonotomy. Group 2 was compared with group 1 as a control group and group 4 with group 3. Groups were compared according to their own preoperative and postoperative Constant and UCLA rating scales. The level of significance was set at p

[1]  S. Duncan.  Treatment of Biceps Tendon Lesions in the Setting of Rotator Cuff Tears: Prospective Cohort Study of Tenotomy Versus Tenodesis , 2011 .

[2]  A. Curtis,et al.  Long head of biceps tendon pathology: management alternatives. , 2008, Clinics in sports medicine.

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

[4]  James Bicos.  Biomechanics and Anatomy of the Proximal Biceps Tendon , 2008, Sports medicine and arthroscopy review.

[5]  William N Levine,et al.  Factors affecting dropped biceps deformity after tenotomy of the long head of the biceps tendon. , 2007, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[6]  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.

[7]  S. Audebert,et al.  [Clinical results of arthroscopic tenotomy of the long head of the biceps brachii in full thickness tears of the rotator cuff without repair: 40 cases]. , 2005, Revue de chirurgie orthopedique et reparatrice de l'appareil moteur.

[8]  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.

[9]  H. Steckel,et al.  Arthroscopic Debridement of Irreparable Massive Rotator Cuff Tears — A Comparison of Debridement Alone and Combined Procedure with Biceps Tenotomy , 2005, Acta chirurgica Belgica.

[10]  Samuel A. Taylor,et al.  Paper #107 Arthroscopic release of the long head of the biceps tendon: functional outcome and clinical results , 2003 .

[11]  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.

[12]  E. Itoi,et al.  The depressor function of biceps on the head of the humerus in shoulders with tears of the rotator cuff , 2000 .

[13]  Freddie H. Fu,et al.  The Role of the Long Head of the Biceps Muscle and Superior Glenoid Labrum in Anterior Stability of the Shoulder , 1994, The American journal of sports medicine.

[14]  J. Tibone,et al.  Electromyographic analysis of muscle action about the shoulder. , 1991, Clinics in sports medicine.

[15]  P. Balasubramaniam,et al.  The role of the long head of biceps brachii in the stabilization of the head of the humerus. , 1989, Clinical orthopaedics and related research.

[16]  J Perry,et al.  A comparative electromyographic analysis of the shoulder during pitching , 1987, The American journal of sports medicine.