"ROCAMBOLE-LIKE" BICEPS TENODESIS: TECHNIQUE AND RESULTS.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Anatomy

Background:

• The long head of the biceps tendon is prone to rupture or tenotomy, often leading to auto-tenodesis within the intertubercular sulcus.
• Understanding the normal and pathological anatomy is crucial for effective bicipital tenodesis.
• Existing techniques may have limitations in addressing tendon displacement and patient outcomes.

Purpose of the Study:

• To present a new, partially arthroscopic technique for bicipital tenodesis.
• To evaluate the outcomes and patient satisfaction associated with this novel procedure.
• To investigate the correlation between patient factors and the occurrence of residual deformity.

Main Methods:

• A cohort of 63 patients (average age 55) underwent the new bicipital tenodesis technique.
• Follow-up averaged 43 months, with statistical analysis using SPSS version 18.
• Patient-reported outcomes, including satisfaction and perceived Popeye deformity, were assessed.

Main Results:

• High patient satisfaction was reported by 92.06% of participants.
• Residual Popeye deformity was perceived by 11.1% of patients.
• No statistically significant correlation was found between age, sports participation, or subscapularis injury and Popeye deformity.

Conclusions:

• The presented bicipital tenodesis technique demonstrates high patient satisfaction and acceptable rates of residual deformity.
• Patient age, sports activity, and associated subscapularis injuries do not significantly influence the occurrence of Popeye deformity.
• This technique offers a promising option for managing long head of biceps tendon pathology.