Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticlesThe cosmetic appearance of the biceps muscle after long-head tenotomy versus tenodesis*
Section snippets
Methods
We retrospectively reviewed 279 patients who had undergone either a biceps tenotomy or biceps tenodesis by the senior author (D.C.O) during 5 consecutive years. These procedures were performed as a component of a spectrum of procedures to include subacromial decompression, rotator cuff repair, distal clavicle excision, and debridement of chronic rotator cuff tear. The indications to perform a biceps tenodesis or tenotomy was based on a clinical examination in which the patient reported point
Results
Demographic information obtained from the 160 patients who returned their follow-up questionnaires showed that the biceps tenodesis patients were an average age of 54 years with an age range from 23 and 76 years. There were 51 men and 29 women. Of the biceps tenotomy patients, the average age was 58 years with an age range from 31 to 83 years. There were 40 men and 40 women. The average time interval from surgery to follow-up in the biceps tenodesis group was 20 months with a range from 3 to 50
Discussion
In addition to the controversies surrounding biceps function and the etiology of bicipital pain, treatment options for the painful biceps tendon are similarly contentious. Biceps tenodesis to the proximal humerus is widely described but has obvious shortcomings, including open surgical exploration.13, 14, 20, 21, 22, 23, 24 An alternative to tenodesis is simple surgical release or tenotomy.19, 25
According to our results, patients who receive an arthroscopic biceps tenotomy experience a similar
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Address correspondence and reprint requests to Kevin P. Speer, M.D., Southeastern Orthopedics Sports Medicine and Shoulder Center, 3404 Wake Forest Rd, Suite 101, Raleigh, NC 27609, U.S.A. E-mail: [email protected]