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[Isolated biceps tenodesis by double row for pulley lesions]
1Department of Sport Medicine, the Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, China.
Zhonghua Yi Xue Za Zhi
|June 4, 2020
Summary
Isolated arthroscopic biceps tenodesis using a double-row technique effectively relieved pain and improved shoulder function in patients with pulley lesions. This surgical approach demonstrated satisfactory clinical outcomes with minimal complications.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- Pulley lesions in the shoulder can cause significant pain and functional limitation.
- Arthroscopic biceps tenodesis is a surgical option for managing these conditions.
Purpose of the Study:
- To evaluate the clinical outcomes of isolated arthroscopic biceps tenodesis with a double-row technique for shoulder pulley lesions.
- To compare outcomes based on the extent of intraoperative pulley system damage.
Main Methods:
- Forty-nine patients with pulley lesions underwent isolated arthroscopic biceps tenodesis by double row.
- Patients were divided into two groups based on pulley system damage (isolated SGHL/CHL lesions vs. combined lesions).
- Clinical outcomes were assessed using the Constant-Murley shoulder score and Visual Analogue Scale (VAS) for pain pre- and post-operatively.
Main Results:
- All patients achieved successful wound healing with no major complications like infection or revision surgery.
- Significant improvements in Constant-Murley scores and reductions in VAS pain scores were observed in both groups post-surgery.
- Average follow-up was 17 months, with no cases of Popeye syndrome or cramping pain reported.
Conclusions:
- Isolated arthroscopic biceps tenodesis by double row is an effective treatment for pulley lesions.
- The procedure successfully alleviates pain and restores shoulder joint function, yielding satisfactory results.
