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

Biz, Carlo and Vinanti, Giovanni Battista and Rossato, Alberto and Arnaldi, Enrico and Aldegheri, Roberto (2012) Prospective study of three surgical procedures for long head biceps tendinopathy associated with rotator cuff tears. M.L.T.J. Muscles, Ligaments and Tendons Journal, 2 (2). pp. 133-136. ISSN 2240-4554

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Abstract

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

Item Type: Article
Uncontrolled Keywords: Long head biceps, rotator cuff, tenodesis, tenotomy
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.7 Malattie del sistema muscoloscheletrico
Depositing User: Danilo Dezzi
Date Deposited: 16 Apr 2014 16:00
Last Modified: 16 Apr 2014 16:00
URI: http://eprints.bice.rm.cnr.it/id/eprint/8107

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