Tenotomy versus Tenodesis in the treatment of the long head of biceps brachii tendon lesionsReport as inadecuate

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BMC Musculoskeletal Disorders

, 13:205

First Online: 22 October 2012Received: 01 June 2012Accepted: 11 October 2012


BackgroundThe superiority of tenotomy vs. tenodesis for surgery on lesions of the long head of the biceps brachii tendon is still under debate. Indeed, high-quality evidence is lacking, mainly because of methodological problems, such as retrospective design, population sample size or lack of patient randomization.

Methods-DesignThe study will be a two-center, double-blind, randomized, controlled trial to compare patients treated with biceps tenotomy or tenodesis for lesions of the long head of the biceps brachii tendon over a 2-year follow-up period. The study participants will be 128 adults with biceps brachii tendinopathy and supraspinatus tendon tears. The primary end point will be the postoperative difference in the Constant-Murley score CMS between the 2 groups at the two-year follow-up. A comparison of the mean improvement with standard age- and gender-related CMS will be performed. The secondary end point will be evaluation of the postoperative general health of patients, as evaluated with Short Form 36 SF-36 scores. The number and severity of complications associated with use of the different surgical techniques will be assessed.

DiscussionThis study will be the first randomized and appropriately powered clinical trial to directly compare tenotomy and biceps tenodesis. The results of this study will help to establish clinical practice guidelines for patients suffering from lesions of the long head of the biceps brachii tendon, providing important information to patients and health care providers about the possible complications, outcome predictors and effectiveness of the targeted interventions.

Trial RegistrationCurrent Controlled Trials ISRCTN38839558

KeywordsLong head of the biceps brachii tendon Tenotomy Tenodesis Shoulder Outcomes AbbreviationsBPbodily pain

CMSConstant-Murley score

GHgeneral health perceptions

LHBlong head of the biceps

LHBTlong head of the biceps brachii tendon

MCSMental Component Scale

MHgeneral mental health

MRImagnetic resonance imaging

NSAIDsnon-steroidal anti-inflammatory drugs

PCSPhysical Component Scale

PFphysical functioning

RErole limitations due to emotional problems

RProle limitations due to physical health

SFsocial functioning

SF-36short form 36

SLAPsuperior labrum tear from anterior to posterior

VTvitality energy, or fatigue.

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Author: Olimpio Galasso - Giorgio Gasparini - Massimo De Benedetto - Filippo Familiari - Roberto Castricini

Source: https://link.springer.com/

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