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Biceps tenotomy or tenodesis in association with rotator cuff repair: is there an influence on functional results? A retrospective cohort study
Malavolta, Eduardo Angeli; Sousa, Alana Caselato de; Gracitelli, Mauro Emilio Conforto; Assunção, Jorge Henrique; Andrade e Silva, Fernando Brandão de; Ferreira Neto, Arnaldo Amado.
  • Malavolta, Eduardo Angeli; Universidade de Sao Paulo. Department of Orthopedics and Traumatology. Hospital das Clinicas HCFMUSP, Faculdade de Medicina. Sao Paulo. BR
  • Sousa, Alana Caselato de; Universidade de Sao Paulo. Department of Orthopedics and Traumatology. Hospital das Clinicas HCFMUSP, Faculdade de Medicina. Sao Paulo. BR
  • Gracitelli, Mauro Emilio Conforto; Universidade de Sao Paulo. Department of Orthopedics and Traumatology. Hospital das Clinicas HCFMUSP, Faculdade de Medicina. Sao Paulo. BR
  • Assunção, Jorge Henrique; Universidade de Sao Paulo. Department of Orthopedics and Traumatology. Hospital das Clinicas HCFMUSP, Faculdade de Medicina. Sao Paulo. BR
  • Andrade e Silva, Fernando Brandão de; Universidade de Sao Paulo. Department of Orthopedics and Traumatology. Hospital das Clinicas HCFMUSP, Faculdade de Medicina. Sao Paulo. BR
  • Ferreira Neto, Arnaldo Amado; Universidade de Sao Paulo. Department of Orthopedics and Traumatology. Hospital das Clinicas HCFMUSP, Faculdade de Medicina. Sao Paulo. BR
São Paulo med. j ; 140(2): 237-243, Jan.-Feb. 2022. tab
Article in English | LILACS | ID: biblio-1366035
ABSTRACT
ABSTRACT

BACKGROUND:

Instability or tears of the long head of the biceps tendon (LHBT) may be present in more than 35% of rotator cuff repairs (RCR).

OBJECTIVE:

To compare clinical results from patients undergoing arthroscopic RCR, according to the procedure performed at the LHBT. DESIGN AND

SETTING:

Retrospective cohort study designed at the shoulder and elbow clinic of Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Brazil.

METHODS:

Functional results among patients were compared using the American Shoulder and Elbow Surgeons (ASES) and University of California Los Angeles (UCLA) scales, according to the LHBT approach adopted no procedure, tenotomy or tenodesis.

RESULTS:

We evaluated 306 shoulders (289 patients) 133 underwent no procedure at the LHBT, 77 tenotomy and 96 tenodesis. The ASES scale at 24 months showed no difference (P = 0.566) between the groups without LHBT procedure (median 90.0; interquartile range, IQR 29), tenotomy (median 90.0; IQR 32.1) or tenodesis (median 94.4; IQR 22.7); nor did the UCLA scale (median 33; IQR 7 versus median 31; IQR 8 versus median 33; IQR 5, respectively, P = 0.054). The groups differed in the preoperative functional assessment according to the ASES and UCLA scale, such that the tenodesis group started from higher values. However, there was no difference in pre and postoperative scores between the groups.

CONCLUSION:

Tenodesis or tenotomy of the LHBT, in the sample analyzed, did not influence the clinical results from RCR, as assessed using the ASES and UCLA scales.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Tendon Injuries / Tenodesis / Rotator Cuff Injuries Type of study: Etiology study / Observational study / Risk factors Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de Sao Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Tendon Injuries / Tenodesis / Rotator Cuff Injuries Type of study: Etiology study / Observational study / Risk factors Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de Sao Paulo/BR