Tenotomy or tenodesis for long head biceps lesions in shoulders with reparable rotator cuff tears: a prospective randomised trial
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| 024 | 7 | 0 | |a 10.1007/s00167-013-2587-8 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-013-2587-8 | ||
| 245 | 0 | 0 | |a Tenotomy or tenodesis for long head biceps lesions in shoulders with reparable rotator cuff tears: a prospective randomised trial |h [Elektronische Daten] |c [Qiang Zhang, Jiaojiao Zhou, Heng'an Ge, Biao Cheng] |
| 520 | 3 | |a Purpose: Tenotomy and tenodesis are both effective for the treatment of long head biceps lesions. The aim of this study was to compare the clinical outcomes of the two procedures in patients older than 55years of age affected by reparable rotator cuff tears with concomitant long head biceps pathologies. Methods: Patients older than 55years of age with long head biceps lesions and reparable rotator cuff tears were selected for this study. A total of 151 patients were randomly assigned to the tenotomy group (77 patients) or the tenodesis group (74 patients). Arthroscopic rotator cuff repair was performed in all the patients. Before surgery, physical and radiological examinations were performed; the constant score was measured as well. After the operation, the surgical time, cost, pain (VAS scores), Popeye sign, cramping pain, constant scores, satisfaction level and the elbow flexion and forearm supination strength indices were recorded. Results: Patients were followed for an average of 24months. No significant differences in the clinical results for the constant scores, the forearm supination and elbow flexion strength indices, Popeye sign, cramping pain and satisfaction level were found between the groups. However, tenotomy required a shorter surgical time (40.4±4.0 vs. 50.4±5.9min, P<0.001) and resulted in faster pain relief (3.1±1.8 vs. 4.8±1.9, P<0.001). Conclusion: Both tenotomy and tenodesis are effective and equal for the treatment of long head biceps lesions. However, because tenotomy requires a shorter surgical time and results in faster pain relief, tenotomy may be more suitable for the treatment of long head biceps lesions in patients older than 55years of age with reparable rotator cuff tears. Level of evidence: Therapeutic studies, Level I. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2013 | ||
| 690 | 7 | |a Long head of the biceps tendon |2 nationallicence | |
| 690 | 7 | |a Tenotomy |2 nationallicence | |
| 690 | 7 | |a Tenodesis |2 nationallicence | |
| 690 | 7 | |a Rotator cuff |2 nationallicence | |
| 690 | 7 | |a LHBT : Long head of the biceps tendon |2 nationallicence | |
| 690 | 7 | |a SLAP : Superior labrum anterior-posterior |2 nationallicence | |
| 690 | 7 | |a SI : Strength index |2 nationallicence | |
| 700 | 1 | |a Zhang |D Qiang |u Department of Orthopaedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, 301 Yanchang Middle Road, 200072, Shanghai, China |4 aut | |
| 700 | 1 | |a Zhou |D Jiaojiao |u Department of Orthopaedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, 301 Yanchang Middle Road, 200072, Shanghai, China |4 aut | |
| 700 | 1 | |a Ge |D Heng'an |u Department of Orthopaedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, 301 Yanchang Middle Road, 200072, Shanghai, China |4 aut | |
| 700 | 1 | |a Cheng |D Biao |u Department of Orthopaedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, 301 Yanchang Middle Road, 200072, Shanghai, China |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/2(2015-02-01), 464-469 |x 0942-2056 |q 23:2<464 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-013-2587-8 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-013-2587-8 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Zhang |D Qiang |u Department of Orthopaedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, 301 Yanchang Middle Road, 200072, Shanghai, China |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Zhou |D Jiaojiao |u Department of Orthopaedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, 301 Yanchang Middle Road, 200072, Shanghai, China |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Ge |D Heng'an |u Department of Orthopaedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, 301 Yanchang Middle Road, 200072, Shanghai, China |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Cheng |D Biao |u Department of Orthopaedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, 301 Yanchang Middle Road, 200072, Shanghai, China |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/2(2015-02-01), 464-469 |x 0942-2056 |q 23:2<464 |1 2015 |2 23 |o 167 | ||