Clin Should Elbow.  2013 Dec;16(2):94-99.

Clinical Results of Arthroscopic Biceps Long Head Tenodesis Above the Pectoralis Major Using an Interference Screw

Affiliations
  • 1Department of Orthopaedic Surgery, Wonkwang University School of Medicine, Iksan, Korea. serina@wonkwang.ac.kr
  • 2Department of Orthopedic Surgery, Gunsan Medical Center, Gunsan, Korea.
  • 3Department of Social Physical Education, Wonkwang University, Iksan, Korea.
  • 4Department of Nursing Science, Chodang University Muan, Chunnam, Korea.

Abstract

PURPOSE
The purpose of this study is to evaluate the clinical results of arthroscopic biceps long head suprapectoral tenodesis using an interference screw.
MATERIALS AND METHODS
We reviewed the cases of 30 patients who underwent arthroscopic biceps long head suprapectoral tenodesis using an interference screw between January 2008 and January 2010. The minimum follow up period was one year. Twenty patients had rotator cuff tears. The results were analyzed by VAS, ASES, tenderness in the bicipital groove, fixation failure, and the degree of deformity.
RESULTS
VAS, ASES scores showed a statistically significant increase during the final observation in all patients, compared with those before surgery. However, five patients (17%) had anterior shoulder pain and tenderness in the biceps groove, and three patients (10%) had Popeye deformity. Better results were achieved in patients without rotator cuff tear than in patients with rotator cuff tear (p<0.05).
CONCLUSION
Arthroscopic biceps long head tenodesis above the pectoralis major using an interference screw in patients with a pathologic lesion of the proximal biceps tendon showed good results at the last follow up. However, further study for tenderness in the biceps groove in 17% of patients is needed.


MeSH Terms

Congenital Abnormalities
Follow-Up Studies
Head*
Humans
Rotator Cuff
Shoulder Pain
Tendons
Tenodesis*
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