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Concomitant Biceps Tenodesis Does Not Compromise Arthroscopic Rotator Cuff Repair Outcomes
Samuel Kim1, Kyle T Deivert2, Teigen Goodeill3
1Eastern Virginia Medical School, Norfolk, Virginia, U.S.A..
Summary
Adding biceps tenodesis to rotator cuff repair (RCR) does not negatively impact patient outcomes at two years. This holds true even for patients with larger rotator cuff tears undergoing the combined procedure.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Reconstruction
Background:
- Rotator cuff tears are common, often requiring surgical intervention.
- Biceps tenodesis is sometimes performed concurrently with rotator cuff repair (RCR).
- The impact of concomitant biceps tenodesis on RCR outcomes requires further investigation.
Purpose of the Study:
- To compare functional outcomes and patient satisfaction after RCR with biceps tenodesis versus isolated RCR.
- To evaluate the influence of tear size on outcomes in patients undergoing both procedures.
Main Methods:
- Retrospective case study comparing two groups: RCR with biceps tenodesis and isolated RCR.
- Exclusion criteria included prior shoulder surgery, irreparable tears, and advanced arthritis.
- Primary outcomes included validated shoulder scores (ASES, SST) and patient-reported satisfaction at 2-year follow-up.
Main Results:
- No significant differences in pain, ASES scores, or SST scores were observed between the groups at 2 years.
- Patients undergoing RCR with biceps tenodesis had significantly larger rotator cuff tears.
- Despite larger tears, the combined procedure group reported comparable outcomes.
Conclusions:
- Concomitant biceps tenodesis is a safe adjunct to RCR, not compromising functional outcomes.
- The procedure offers comparable results to isolated RCR, even in cases with larger tears.
- This suggests biceps tenodesis can be reliably performed without negatively affecting shoulder function post-RCR.
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