Comparison of Different Treatment Strategies for Long Head of Biceps Tendon in Rotator Cuff Repair: A Review

Rotator cuff injuries are frequently associated with lesions of the long head of the biceps tendon (LHBT), and the management strategies for LHBT significantly influence shoulder function recovery and pain relief in patients. This review provides a comprehensive overview of the anatomical features of the LHBT and its relationship with rotator cuff pathologies. It critically compares the clinical efficacy and complications of various treatment strategies for LHBT, including preservation, partial resection, complete tenotomy, and tendon transfer repair. By integrating recent advancements in imaging and anatomical studies, the review explores how LHBT lesions affect shoulder joint stability and function, as well as the mechanisms through which different surgical strategies impact the prognosis of rotator cuff repairs. Through a systematic analysis of the current literature, this review aims to provide a theoretical basis and practical guidance for clinicians in developing individualized treatment plans for patients with rotator cuff injuries involving the LHBT.