The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis.

Male Humans Female Middle Aged Tenodesis / methods Rotator Cuff / surgery Muscle, Skeletal Rotator Cuff Injuries / surgery Pain / surgery
Long head of the biceps Shoulder Shoulder arthroscopy Subpectoral Tenodesis

Journal

Journal of sport and health science
ISSN: 2213-2961
Titre abrégé: J Sport Health Sci
Pays: China
ID NLM: 101606001

Informations de publication

Date de publication:
09 2023
Historique:
received: 26 04 2020
revised: 18 06 2020
accepted: 01 07 2020
medline: 25 8 2023
pubmed: 14 8 2020
entrez: 14 8 2020
Statut: ppublish

Résumé

Tenodesis of the long head of the biceps (LHB) is commonly undertaken during arthroscopic rotator cuff repair. We assessed the clinical and structural outcomes after high arthroscopic tenodesis (HAT) or mini-open subpectoral tenodesis (ST). We hypothesized that the clinical and structural results after HAT and ST are similar. We included 40 patients with rotator cuff tear and LHB tendinopathy. Twenty patients (7 women and 13 men; mean age: 57.9 years; range: 56-63 years) were treated using HAT, and 20 patients (8 women and 12 men; mean age: 58.5 years; range: 55-64 years) were treated using ST. Functional evaluation was performed preoperatively and at 6 weeks, 6 months, and 1 year after surgery, using the Constant Murley Score and Simple Shoulder Test scores; the LHB was evaluated using the LHB score. A Visual Analogue Scale was administered to all patients preoperatively and 2 days after surgery. The postoperative total and pain subscale's Constant scores were significantly higher in the ST group. Moreover, 2 LHB score values were significantly different between the groups. The postoperative LHB total score in the ST and HAT groups averaged 86.9 ± 4.1 (mean ± SD) points and 73.3 ± 6.4 points, respectively. The Pain/Cramps subscale in the ST and HAT groups averaged 47.1 ± 5.9 and 33.2 ± 4.6 points, respectively. The 2 groups showed no difference in Visual Analogue Scale values (5.5 in the HAT group; 5.8 in the ST group) postoperatively. One patient in the HAT group reported a secondary onset of Popeye deformity. Both high arthroscopic and mini-open ST of the LHB tendon produced reliably good functional results, but the ST group was associated with better postoperative clinical outcomes.

Sections du résumé

BACKGROUND
Tenodesis of the long head of the biceps (LHB) is commonly undertaken during arthroscopic rotator cuff repair. We assessed the clinical and structural outcomes after high arthroscopic tenodesis (HAT) or mini-open subpectoral tenodesis (ST). We hypothesized that the clinical and structural results after HAT and ST are similar.
METHODS
We included 40 patients with rotator cuff tear and LHB tendinopathy. Twenty patients (7 women and 13 men; mean age: 57.9 years; range: 56-63 years) were treated using HAT, and 20 patients (8 women and 12 men; mean age: 58.5 years; range: 55-64 years) were treated using ST. Functional evaluation was performed preoperatively and at 6 weeks, 6 months, and 1 year after surgery, using the Constant Murley Score and Simple Shoulder Test scores; the LHB was evaluated using the LHB score. A Visual Analogue Scale was administered to all patients preoperatively and 2 days after surgery.
RESULTS
The postoperative total and pain subscale's Constant scores were significantly higher in the ST group. Moreover, 2 LHB score values were significantly different between the groups. The postoperative LHB total score in the ST and HAT groups averaged 86.9 ± 4.1 (mean ± SD) points and 73.3 ± 6.4 points, respectively. The Pain/Cramps subscale in the ST and HAT groups averaged 47.1 ± 5.9 and 33.2 ± 4.6 points, respectively. The 2 groups showed no difference in Visual Analogue Scale values (5.5 in the HAT group; 5.8 in the ST group) postoperatively. One patient in the HAT group reported a secondary onset of Popeye deformity.
CONCLUSION
Both high arthroscopic and mini-open ST of the LHB tendon produced reliably good functional results, but the ST group was associated with better postoperative clinical outcomes.

Identifiants

DOI: 10.1016/j.jshs.2020.08.004 PMID: 32791203 PMC: PMC10466182
pubmed: 32791203
pii: S2095-2546(20)30102-2
doi: 10.1016/j.jshs.2020.08.004
pmc: PMC10466182
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

613-618

Informations de copyright

Copyright © 2020. Production and hosting by Elsevier B.V.

Déclaration de conflit d'intérêts

Competing interests The authors declare that they have no competing interests.

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Auteurs

Edoardo Franceschetti (E)

Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, 00100 Rome, Italy.

Edoardo Giovannetti de Sanctis (E)

Department of Orthopaedics and Traumatology, Catholic University, Agostino Gemelli Hospital, 00100 Rome, Italy.

Alessio Palumbo (A)

Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, 00100 Rome, Italy.

Michele Paciotti (M)

Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, 00100 Rome, Italy.

Luca La Verde (L)

Anca Surgical Center, Via Francesco Maidalchini 20, Roma, 00152, Rome, Italy.

Nicola Maffulli (N)

Department of Musculoskeletal Disorders, Via Salvador Allende, 43, 84081 Baronissi, Salerno, Italy; Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London E1 4DG, England, UK; School of Pharmacy and Bioengineering, Keele University School of Medicine, Thornburrow Drive, Stoke on Trent ST4, England, UK. Electronic address: n.maffulli@qmul.ac.uk.

Francesco Franceschi (F)

Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, 00100 Rome, Italy.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The management of the long head of the biceps...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › The management of the long head of the biceps...
questionsmedicales.fr › Procédures de chirurgie opératoire › Techniques de fermeture des plaies › Techniques de suture › Ténodèse › The management of the long head of the biceps...
questionsmedicales.fr › Appareil locomoteur › Tendons › Coiffe des rotateurs › The management of the long head of the biceps...
questionsmedicales.fr › Tissus › Muscles › Muscle strié › Muscles squelettiques › The management of the long head of the biceps...
questionsmedicales.fr › Plaies et blessures › Traumatismes des tendons › Lésions de la coiffe des rotateurs › The management of the long head of the biceps...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › The management of the long head of the biceps...