[Arthroscopic assisted biceps tenodesis].

Area of Science:

• Orthopedic surgery
• Shoulder arthroscopy
• Sports medicine

Background:

• Chronic biceps tendinitis is a common cause of shoulder pain.
• Surgical intervention, such as biceps tenodesis, is often considered for persistent symptoms.
• Arthroscopic techniques offer potential advantages in treating biceps tendon pathology.

Purpose of the Study:

• To evaluate the functional outcomes of arthroscopic assisted biceps tenodesis.
• To assess the efficacy of this procedure in patients with chronic biceps tendinitis.
• To determine the success rate in patients with concomitant shoulder conditions.

Main Methods:

• A cohort of six patients with chronic biceps tendinitis underwent arthroscopic assisted biceps tenodesis.
• Biceps tendon fixation was achieved using key-hole technique (one patient) or suture anchors (five patients).
• Patient outcomes were assessed using the Constant shoulder scoring system with a mean follow-up of 12 months.

Main Results:

• All patients presented with shoulder impingement syndrome; five had rotator cuff lesions, and one had os acromiale.
• Mean Constant scores improved significantly from 62 preoperatively to 84.2 postoperatively.
• Patients returned to work within a mean of six weeks, with no observed complications.

Conclusions:

• Arthroscopic assisted biceps tenodesis demonstrates successful functional results for chronic biceps tendinitis.
• The procedure is effective even in the presence of coexisting shoulder impingement syndrome or rotator cuff lesions.
• This minimally invasive approach offers a viable treatment option for complex shoulder pathologies involving the biceps tendon.