Is it a must to tenotomize the biceps intraarticular origin during tenodesis? A prospective case series study of biceps tenodesis without tenotomy

This study was conducted to investigate three questions; Does biceps tenodesis without tenotomy reduce short-term tenodesis failure and revision rate? Does preserved biceps origin increase the prevalence of postoperative bicipital pain and tenderness? Does this technical modification limit postoperative range of motion? Methods: Between October 2014 and December 2018, a case series of 24 patients with different isolated biceps tendon lesions were prospectively managed by arthroscopic intraarticular suture-anchor biceps tenodesis without tenotomizing the biceps intraarticular origin. Patients were evaluated for demographics and for preoperative and 2-year postoperative range of motion, University of California Los Angeles (UCLA) scoring system, return to work, persistent bicipital pain or tenderness, and Popeye sign (tenodesis failure). Results: Mean age of the group was 46.7 yr. Statistical analysis revealed highly significant postoperative improvement in UCLA score parameters (P
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research