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KMID : 1037920150020010023
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Arthroscopy and Orthopedic Sports Medicine
2015 Volume.2 No. 1 p.23 ~ p.29
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Comparison of clinical outcomes of arthroscopic biceps long head tenodesis with or without tenotomy
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Ko Sang-Hun
Jung Kwang-Hwan
Kang Hang-Ki
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Abstract
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Background: The present study aims to evaluate the clinical outcomes of tenodesis followed by tenotomy and tenodesis without tenotomy for biceps long head tendon lesions during arthroscopic small- to medium-sized full-thickness rotator cuff repair.
Methods: This study was conducted on 33 patients who were available for at least 1-year regular follow-up after tenodesis of the long head of the biceps during arthroscopic small- to medium-sized full thickness rotator cuff repair between November 2009 and November 2010. Group I consisted of 20 patients who underwent tenodesis with tenotomy and group II consisted of 13 patients who underwent tenodesis without tenotomy. The outcomes were evaluated by visual analogue scale (VAS), UCLA scores, Speed’s test, and direct tenderness on the bicipital groove.
Results: At the last follow-up, the VAS decreased from a preoperative mean of 7.5 to a postoperative mean of 3.0 in group I and from a preoperative mean of 8.0 to a postoperative mean of 3.2 in group II (P < 0.05). The UCLA score increased from a preoperative mean of 15.7 to a postoperative mean of 32.3 in group I and from a preoperative mean of 13.8 to a postoperative mean of 29.4 in group II (P < 0.05). The number of positive Speed’s test decreased from 13 preoperatively to 5 postoperatively in group I and from 9 preoperatively to 2 postoperatively in group II (P < 0.05). The number of patients with direct tenderness on the bicipital groove decreased from 17 preoperatively to 3 postoperatively in group I and from 12 preoperatively to 4 postoperatively in group II (P < 0.05).
Conclusion: The use of tenotomy in combination with tenodesis for biceps long head tendon lesions had no significant impact on the clinical outcomes of arthroscopic rotator cuff repair.
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KEYWORD
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Shoulder joint, Biceps long head tendon, Arthroscopic tenodesis
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