Cargando…
Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor
PURPOSE: To describe short-term outcomes of arthroscopic suprapectoral onlay biceps tenodesis using a single all-suture anchor with respect to validated outcome measures, return to work, objective strength and motion data, and biceps-specific testing. METHODS: This study describes a consecutive seri...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8365203/ https://www.ncbi.nlm.nih.gov/pubmed/34430886 http://dx.doi.org/10.1016/j.asmr.2021.03.012 |
_version_ | 1783738659990667264 |
---|---|
author | Cabarcas, Brandon C. Beletsky, Alexander Liu, Joseph Gowd, Anirudh K. Manderle, Brandon J. Cohn, Matthew Verma, Nikhil N. |
author_facet | Cabarcas, Brandon C. Beletsky, Alexander Liu, Joseph Gowd, Anirudh K. Manderle, Brandon J. Cohn, Matthew Verma, Nikhil N. |
author_sort | Cabarcas, Brandon C. |
collection | PubMed |
description | PURPOSE: To describe short-term outcomes of arthroscopic suprapectoral onlay biceps tenodesis using a single all-suture anchor with respect to validated outcome measures, return to work, objective strength and motion data, and biceps-specific testing. METHODS: This study describes a consecutive series of patients undergoing arthroscopic suprapectoral onlay biceps tenodesis performed by a single surgeon from January to December 2017. Patients were evaluated preoperatively and postoperatively with the American Shoulder and Elbow Surgeons questionnaire, visual analog scale, Single Assessment Numeric Evaluation, Veterans RAND 12-Item Health Survey, and 12-Item Short Form survey, and return-to-work survey. Postoperative strength, range of motion, and biceps-specific testing was also performed. RESULTS: This study included 50 patients (26 men and 24 women), with an average age (± standard deviation) of 50.1 ± 10.9 years and average final follow-up of 21.3 ± 8.5 months. Among employed patients, 32 (71.1%) returned to work at an average of 4.6 ± 2.3 months. Light-duty workers returned to work at a significantly greater rate (85.7% vs 33.3%, P = .016) and in less time (2.6 ± 2.0 months vs 6.8 ± 4.2 months) than heavy-duty workers. No differences were found between operative and nonoperative sides in the biceps apex distance (P = .636) or range of motion in elbow flexion and extension (P > .9 for both), supination (P = .192), or pronation (P = .343) postoperatively. Strength in elbow flexion (P = .002), as well as shoulder forward elevation (P < .001) and external rotation (P < .001), increased postoperatively. Significant patient-reported improvements were noted in the American Shoulder and Elbow Surgeons score, visual analog scale pain score, Single Assessment Numeric Evaluation score, Constant-Murley score, and Veterans RAND 12-Item Health Survey and 12-Item Short Form physical component scores (P ≤ .001 for all). A postoperative Popeye deformity developed in 5 patients (10%). CONCLUSIONS: Arthroscopic suprapectoral onlay biceps tenodesis with a single all-suture anchor can provide overall excellent clinical outcomes regarding strength, motion, and validated patient-reported outcome questionnaires. Return to occupational activities may be less predictable and more prolonged for heavy laborers. A small number of patients may experience cosmetic deformity postoperatively. LEVEL OF EVIDENCE: Level IV, therapeutic case series. |
format | Online Article Text |
id | pubmed-8365203 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-83652032021-08-23 Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor Cabarcas, Brandon C. Beletsky, Alexander Liu, Joseph Gowd, Anirudh K. Manderle, Brandon J. Cohn, Matthew Verma, Nikhil N. Arthrosc Sports Med Rehabil Original Article PURPOSE: To describe short-term outcomes of arthroscopic suprapectoral onlay biceps tenodesis using a single all-suture anchor with respect to validated outcome measures, return to work, objective strength and motion data, and biceps-specific testing. METHODS: This study describes a consecutive series of patients undergoing arthroscopic suprapectoral onlay biceps tenodesis performed by a single surgeon from January to December 2017. Patients were evaluated preoperatively and postoperatively with the American Shoulder and Elbow Surgeons questionnaire, visual analog scale, Single Assessment Numeric Evaluation, Veterans RAND 12-Item Health Survey, and 12-Item Short Form survey, and return-to-work survey. Postoperative strength, range of motion, and biceps-specific testing was also performed. RESULTS: This study included 50 patients (26 men and 24 women), with an average age (± standard deviation) of 50.1 ± 10.9 years and average final follow-up of 21.3 ± 8.5 months. Among employed patients, 32 (71.1%) returned to work at an average of 4.6 ± 2.3 months. Light-duty workers returned to work at a significantly greater rate (85.7% vs 33.3%, P = .016) and in less time (2.6 ± 2.0 months vs 6.8 ± 4.2 months) than heavy-duty workers. No differences were found between operative and nonoperative sides in the biceps apex distance (P = .636) or range of motion in elbow flexion and extension (P > .9 for both), supination (P = .192), or pronation (P = .343) postoperatively. Strength in elbow flexion (P = .002), as well as shoulder forward elevation (P < .001) and external rotation (P < .001), increased postoperatively. Significant patient-reported improvements were noted in the American Shoulder and Elbow Surgeons score, visual analog scale pain score, Single Assessment Numeric Evaluation score, Constant-Murley score, and Veterans RAND 12-Item Health Survey and 12-Item Short Form physical component scores (P ≤ .001 for all). A postoperative Popeye deformity developed in 5 patients (10%). CONCLUSIONS: Arthroscopic suprapectoral onlay biceps tenodesis with a single all-suture anchor can provide overall excellent clinical outcomes regarding strength, motion, and validated patient-reported outcome questionnaires. Return to occupational activities may be less predictable and more prolonged for heavy laborers. A small number of patients may experience cosmetic deformity postoperatively. LEVEL OF EVIDENCE: Level IV, therapeutic case series. Elsevier 2021-05-29 /pmc/articles/PMC8365203/ /pubmed/34430886 http://dx.doi.org/10.1016/j.asmr.2021.03.012 Text en © 2021 The Authors https://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 Cabarcas, Brandon C. Beletsky, Alexander Liu, Joseph Gowd, Anirudh K. Manderle, Brandon J. Cohn, Matthew Verma, Nikhil N. Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor |
title | Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor |
title_full | Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor |
title_fullStr | Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor |
title_full_unstemmed | Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor |
title_short | Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor |
title_sort | short-term clinical and return-to-work outcomes after arthroscopic suprapectoral onlay biceps tenodesis with a single suture anchor |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8365203/ https://www.ncbi.nlm.nih.gov/pubmed/34430886 http://dx.doi.org/10.1016/j.asmr.2021.03.012 |
work_keys_str_mv | AT cabarcasbrandonc shorttermclinicalandreturntoworkoutcomesafterarthroscopicsuprapectoralonlaybicepstenodesiswithasinglesutureanchor AT beletskyalexander shorttermclinicalandreturntoworkoutcomesafterarthroscopicsuprapectoralonlaybicepstenodesiswithasinglesutureanchor AT liujoseph shorttermclinicalandreturntoworkoutcomesafterarthroscopicsuprapectoralonlaybicepstenodesiswithasinglesutureanchor AT gowdanirudhk shorttermclinicalandreturntoworkoutcomesafterarthroscopicsuprapectoralonlaybicepstenodesiswithasinglesutureanchor AT manderlebrandonj shorttermclinicalandreturntoworkoutcomesafterarthroscopicsuprapectoralonlaybicepstenodesiswithasinglesutureanchor AT cohnmatthew shorttermclinicalandreturntoworkoutcomesafterarthroscopicsuprapectoralonlaybicepstenodesiswithasinglesutureanchor AT vermanikhiln shorttermclinicalandreturntoworkoutcomesafterarthroscopicsuprapectoralonlaybicepstenodesiswithasinglesutureanchor |