The modified Norwegian method of biceps tenodesis: how well does it work?

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• Biceps tenodesis is a common procedure for managing various shoulder pathologies.
• The optimal technique for biceps tenodesis remains a subject of ongoing debate in orthopedic literature.
• The modified Norwegian method (MNM) presents a potentially simpler and effective approach.

Purpose of the Study:

• To evaluate the clinical outcomes and complication rates associated with the modified Norwegian method (MNM) of biceps tenodesis.
• To assess the efficacy of MNM tenodesis performed by a single surgeon over a defined period.
• To compare outcomes between isolated tenodesis and those with concomitant procedures.

Main Methods:

• Retrospective review of 75 patients undergoing MNM biceps tenodesis between 2008 and 2013.
• Inclusion criteria: minimum 2-year follow-up, adherence to DASH and ASES surveys.
• Data collected: demographics, follow-up duration, concomitant procedures, workers' compensation (WC) status, patient-reported outcomes (DASH/ASES), and complications.

Main Results:

• No significant difference in DASH or ASES scores between isolated and concomitant tenodesis groups.
• Patients with WC claims reported significantly worse DASH and ASES scores (p=0.016; p=0.002).
• Overall complication rate was 3% (2/75), both being tenodesis ruptures; 4% (3/75) experienced treatment failure (residual pain).

Conclusions:

• The modified Norwegian method (MNM) of biceps tenodesis is a simple, efficient, and effective surgical option.
• MNM tenodesis demonstrates subjective outcomes and complication rates comparable to other established methods.
• This technique offers a reliable alternative for patients requiring biceps tenodesis.