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Patient Satisfaction After Biceps Tenotomy.

Brett D Meeks1, Natalie M Meeks2, Andrew W Froehle1

  • 1Department of Orthopaedic Surgery, Wright State University, Dayton, Ohio, USA.

Orthopaedic Journal of Sports Medicine
|June 10, 2017
PubMed
Summary
This summary is machine-generated.

Biceps tenotomy is a successful surgical option for shoulder issues, with most patients reporting high satisfaction and willingness to undergo the procedure again. Downsides like cramping or pain are generally mild and infrequent.

Keywords:
biceps tendonshoulder arthroscopytenodesistenotomy

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Area of Science:

  • Orthopedic Surgery
  • Shoulder Pathology
  • Biceps Tendon Lesions

Background:

  • Proximal biceps lesions are commonly treated with either tenotomy or tenodesis.
  • There is ongoing debate regarding the superiority of biceps tenotomy versus tenodesis.
  • This study specifically investigates patient-reported outcomes following biceps tenotomy.

Purpose of the Study:

  • To evaluate patient satisfaction and outcomes after biceps tenotomy.
  • To assess the incidence of pain, cramping, weakness, and cosmetic deformity post-tenotomy.
  • To determine if biceps tenotomy is a viable option for middle-aged to older individuals with concomitant shoulder pathology.

Main Methods:

  • A case series (Level of evidence, 4) involving 104 patients (mean age, 63.5 years).
  • Biceps tenotomy was performed as part of broader shoulder surgery.
  • Patient-reported outcomes including satisfaction, pain, cramping, weakness, and cosmetic deformity were assessed at a mean follow-up of 38.4 months.

Main Results:

  • 91% of patients were satisfied or very satisfied; 95% would repeat the surgery.
  • Minor issues reported: 13% cosmetic deformity, 20% spasms/cramping (typically weekly), 19% biceps pain (severe in only 2 patients), 17% subjective weakness.
  • Female sex was linked to less limitation and higher satisfaction; age did not impact outcomes.

Conclusions:

  • Patient-reported downsides of biceps tenotomy are typically mild and infrequent, not impacting overall satisfaction.
  • Biceps tenotomy is a viable surgical choice for middle-aged to older patients with biceps pathology during shoulder surgery.
  • High patient satisfaction rates support biceps tenotomy as an effective treatment option.