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Biceps Tenodesis: An Evolution of Treatment
Brandon J Erickson1, Akshay Jain, Gregory L Cvetanovich
1Department of Orthopaedic Surgery, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL. berickso.24@gmail.com.
American Journal of Orthopedics (Belle Mead, N.J.)
|September 1, 2017
Summary
The number of long head of the biceps (LHB) tenodesis procedures is rising significantly. This trend is occurring without a notable change in the average age of patients undergoing this shoulder surgery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- The long head of the biceps (LHB) tendon is a common source of shoulder pain.
- LHB tenodesis is a recognized surgical treatment for various shoulder pathologies.
Purpose of the Study:
- To analyze trends in LHB tenodesis rates over a decade.
- To investigate changes in patient demographics undergoing LHB tenodesis.
Main Methods:
- Retrospective review of arthroscopic shoulder surgeries from 2004-2014.
- Inclusion of data from 4 fellowship-trained orthopedic surgeons.
- Statistical analysis using linear regression (P < .05).
Main Results:
- 2,125 LHB tenodesis cases identified out of 7,640 total arthroscopic shoulder procedures.
- Significant increase in the annual number of LHB tenodesis cases (P = .0024).
- No significant change in the mean patient age (P = .934); significant rise in the proportion of LHB tenodesis relative to all arthroscopic procedures (P = .0099).
Conclusions:
- LHB tenodesis has become increasingly prevalent in shoulder surgery.
- The procedure is being performed across a similar age range over time.
- This suggests a growing role for LHB tenodesis in managing shoulder conditions.
