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Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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Proximal biceps tendon: injuries and management.

Darren J Friedman1, John C Dunn, Laurence D Higgins

  • 1Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.

Sports Medicine and Arthroscopy Review
|August 16, 2008
PubMed
Summary

The long head of the biceps tendon often causes shoulder pain due to conditions like tears or tendonitis. Subpectoral tenodesis surgery may reduce recurrence rates compared to proximal techniques for biceps tendon issues.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Anatomy

Background:

  • The long head of the biceps tendon is a common source of shoulder pain.
  • Pathologies include tendonitis, partial tears, and subluxation, often linked to rotator cuff tears, particularly subscapularis tears.

Purpose of the Study:

  • To review operative interventions for long head of the biceps tendon pathology.
  • To compare the efficacy of proximal versus distal tenodesis techniques.

Main Methods:

  • Literature review of surgical techniques for biceps tendon pathology.
  • Analysis of recurrence rates for different tenodesis locations (proximal vs. subpectoral).

Main Results:

  • Tenotomy and tenodesis are primary surgical options.
  • Subpectoral tenodesis demonstrated a potentially lower recurrence rate compared to proximal tenodesis techniques.

Conclusions:

  • Subpectoral tenodesis may offer superior outcomes in terms of recurrence for long head of the biceps tendon pathology.
  • Further research may validate the long-term benefits of subpectoral tenodesis.