Suprapectoral Biceps Tenodesis. Clinical Outcomes

Main Article Content

Juan Martín Patiño
Enrique Sebastián Cabrera

Abstract

Objective: To evaluate and compare outcomes in a case series of SLAP injuries and complete tears of the long head of the biceps treated with suprapectoral tenodesis using a mini-open approach.
Materials and Methods: Patients aged over 18, treated between 2019 and 2020, with a minimum 1-year follow-up were included. The demographic characteristics, indication for surgery, return to activities considered usual by the patient, and complications were recorded. The American Shoulder and Elbow Surgeons (ASES) score for the shoulder was used, and the active range of motion of the affected shoulder was measured. In addition, the patients were asked if they were able to return to their daily activities. We recorded the diagnosis that led the patients to surgery and whether they had undergone a traumatic event coinciding with the onset of symptoms.
Results: 8 patients were evaluated, the median age was 42.5, and the follow-up was 17 months (IQR 13.5 – 21.5). Six patients (75.0%) had a type II SLAP injury, and two (25.0%) had a complete LHB tear. Six patients (75.0%) associated the symptoms with a traumatic event. The final range of motion of the shoulder (median) was: flexion 180° (IQR 170°-180), internal rotation 65° (IQR 60° - 75°), and external rotation 70° (IQR65° - 87.5°).
Conclusion: Suprapectoral tenodesis with a prior arthroscopic tenotomy for SLAP II cases or in cases of complete tears of the long head of the biceps is a safe technique for achieving functional outcomes.

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How to Cite
Patiño, J. M., & Cabrera, E. S. (2022). Suprapectoral Biceps Tenodesis. Clinical Outcomes. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(4), 488-497. https://doi.org/10.15417/issn.1852-7434.2022.87.4.1526
Section
Clinical Research
Author Biographies

Juan Martín Patiño, Hand and Upper Limb Surgery Service, Shoulder and Elbow Section, Orthopedics and Traumatology Department, “Cirujano Mayor Cosme Argerich” Central Military Hospital, Autonomous City of Buenos Aires, Argentina

Head of the Hand and Upper Limb Surgery Service, Shoulder and Elbow Section, Orthopedics and Traumatology Department, “Cirujano Mayor Cosme Argerich” Central Military Hospital, Autonomous City of Buenos Aires, Argentina Clínica Bazterrica, Ciudad Autónoma de Buenos Aires, Argentina.

Enrique Sebastián Cabrera, Shoulder and Elbow Surgery Service, Clínica Modelo de Morón, Buenos Aires, Argentina

Shoulder and Elbow Surgery Service, Clínica Modelo de Morón, Buenos Aires, Argentina

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