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TENOTOMY WITH OR WITHOUT TENODESIS OF THE LONG HEAD OF THE BICEPS USING REPAIR OF THE ROTATOR CUFF

Objective: To compare the functional results among patients undergoing tenotomy with or without tenodesis of the long head of the biceps associated with arthroscopic repair of rotator cuff injuries, with a minimum two-year follow-up. Method: This was a retrospective non-randomized trial with evidenc...

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Autores principales: Ikemoto, Roberto Yukio, Pileggi, Paulo Eduardo, Murachovsky, Joel, Nascimento, Luís Gustavo Prata, Serpone, Rogerio Bueno, Strose, Eric, Oliveira, Luiz Henrique Almeida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799488/
https://www.ncbi.nlm.nih.gov/pubmed/27047893
http://dx.doi.org/10.1016/S2255-4971(15)30031-8
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author Ikemoto, Roberto Yukio
Pileggi, Paulo Eduardo
Murachovsky, Joel
Nascimento, Luís Gustavo Prata
Serpone, Rogerio Bueno
Strose, Eric
Oliveira, Luiz Henrique Almeida
author_facet Ikemoto, Roberto Yukio
Pileggi, Paulo Eduardo
Murachovsky, Joel
Nascimento, Luís Gustavo Prata
Serpone, Rogerio Bueno
Strose, Eric
Oliveira, Luiz Henrique Almeida
author_sort Ikemoto, Roberto Yukio
collection PubMed
description Objective: To compare the functional results among patients undergoing tenotomy with or without tenodesis of the long head of the biceps associated with arthroscopic repair of rotator cuff injuries, with a minimum two-year follow-up. Method: This was a retrospective non-randomized trial with evidence level III, in which the medical files of 77 patients with lesions of the long head of the biceps were reviewed and clinically reassessed. Among these, 55 patients underwent tenotomy without tenodesis and 22 underwent tenotomy with tenodesis, with outpatient follow-up for at least two years. The age, dominant side, operated side, lesion size using the Gartsman classification, pre and postoperative range of motion, presence or absence of the Popeye sign, pain in the bicipital groove and assessments using the University of California at Los Angeles (UCLA) score and the elbow strength index. Results: The mean UCLA score of the sample went from 16.92 (range: 8 to 25) to 31.45 (range: 13 to 35) (p < 0.001). Comparison of the pre and postoperative UCLA scores in the two groups showed that the difference in the group with tenotomy and tenodesis was 15.95 and in the group with tenotomy alone, 14.62 (p = 0.023). However, there was no statistical significance in comparing the groups regarding pain in the bicipital groove, Popeye sign or elbow strength index. Conclusion: This study showed that the difference in UCLA scores was statistically significant. The group with tenotomy and tenodesis of the long head of the biceps presented better functional results.
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spelling pubmed-47994882016-04-04 TENOTOMY WITH OR WITHOUT TENODESIS OF THE LONG HEAD OF THE BICEPS USING REPAIR OF THE ROTATOR CUFF Ikemoto, Roberto Yukio Pileggi, Paulo Eduardo Murachovsky, Joel Nascimento, Luís Gustavo Prata Serpone, Rogerio Bueno Strose, Eric Oliveira, Luiz Henrique Almeida Rev Bras Ortop Original Article Objective: To compare the functional results among patients undergoing tenotomy with or without tenodesis of the long head of the biceps associated with arthroscopic repair of rotator cuff injuries, with a minimum two-year follow-up. Method: This was a retrospective non-randomized trial with evidence level III, in which the medical files of 77 patients with lesions of the long head of the biceps were reviewed and clinically reassessed. Among these, 55 patients underwent tenotomy without tenodesis and 22 underwent tenotomy with tenodesis, with outpatient follow-up for at least two years. The age, dominant side, operated side, lesion size using the Gartsman classification, pre and postoperative range of motion, presence or absence of the Popeye sign, pain in the bicipital groove and assessments using the University of California at Los Angeles (UCLA) score and the elbow strength index. Results: The mean UCLA score of the sample went from 16.92 (range: 8 to 25) to 31.45 (range: 13 to 35) (p < 0.001). Comparison of the pre and postoperative UCLA scores in the two groups showed that the difference in the group with tenotomy and tenodesis was 15.95 and in the group with tenotomy alone, 14.62 (p = 0.023). However, there was no statistical significance in comparing the groups regarding pain in the bicipital groove, Popeye sign or elbow strength index. Conclusion: This study showed that the difference in UCLA scores was statistically significant. The group with tenotomy and tenodesis of the long head of the biceps presented better functional results. Elsevier 2015-11-04 /pmc/articles/PMC4799488/ /pubmed/27047893 http://dx.doi.org/10.1016/S2255-4971(15)30031-8 Text en © 2012 Sociedade Brasileira de Ortopedia e Traumatologia http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Ikemoto, Roberto Yukio
Pileggi, Paulo Eduardo
Murachovsky, Joel
Nascimento, Luís Gustavo Prata
Serpone, Rogerio Bueno
Strose, Eric
Oliveira, Luiz Henrique Almeida
TENOTOMY WITH OR WITHOUT TENODESIS OF THE LONG HEAD OF THE BICEPS USING REPAIR OF THE ROTATOR CUFF
title TENOTOMY WITH OR WITHOUT TENODESIS OF THE LONG HEAD OF THE BICEPS USING REPAIR OF THE ROTATOR CUFF
title_full TENOTOMY WITH OR WITHOUT TENODESIS OF THE LONG HEAD OF THE BICEPS USING REPAIR OF THE ROTATOR CUFF
title_fullStr TENOTOMY WITH OR WITHOUT TENODESIS OF THE LONG HEAD OF THE BICEPS USING REPAIR OF THE ROTATOR CUFF
title_full_unstemmed TENOTOMY WITH OR WITHOUT TENODESIS OF THE LONG HEAD OF THE BICEPS USING REPAIR OF THE ROTATOR CUFF
title_short TENOTOMY WITH OR WITHOUT TENODESIS OF THE LONG HEAD OF THE BICEPS USING REPAIR OF THE ROTATOR CUFF
title_sort tenotomy with or without tenodesis of the long head of the biceps using repair of the rotator cuff
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799488/
https://www.ncbi.nlm.nih.gov/pubmed/27047893
http://dx.doi.org/10.1016/S2255-4971(15)30031-8
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