Format

Send to:

Choose Destination
See comment in PubMed Commons below
Int J Shoulder Surg. 2012 Oct;6(4):108-11. doi: 10.4103/0973-6042.106222.

Symptomatic chronic long head of biceps rupture: Surgical results.

Author information

  • 1Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan WN6 9EP, United Kingdom.

Abstract

PURPOSE:

Chronic rupture of the long head of biceps (LHB) tendon is usually asymptomatic. However, some active patients suffer with long-term cramping pain associated with repetitive biceps use. The aim of this study is to review the outcomes of biceps tenodesis performed for chronic LHB ruptures.

MATERIALS AND METHODS:

We performed a retrospective review of 11 consecutive patients who underwent biceps tenodesis for symptomatic chronic LHB ruptures over a 4-year period.

RESULTS:

There were 10 men and one woman with an average age at surgery of 41 years (range 23-65). The mean follow-up was 29 months (range 6-60). In five cases a tendon was still identifiable and suitable for repair with an 'in-bone' interference screw. However, in six cases the tendon was not possible to tenodese with an interference screw. In these cases we used an 'on-bone' technique with suture anchors. All, except one, patients reported improvement in their arm pain (78%), strength (74%) and appearance. All, except one, were glad to have had the surgery.

CONCLUSIONS:

Symptomatic chronic LHB ruptures improve with a biceps tenodesis procedure. Due to the chronicity of the injury and possible degeneration of the tendon, a suitable tendon for 'in-bone' tenodesis may not be possible. In these cases an 'on-bone' footprint repair with suture anchors achieves good results.

LEVEL OF EVIDENCE:

IV (retrospective case series).

KEYWORDS:

Biceps tenodesis; chronic rupture; interference screw; long head of biceps; suture anchor

PMID:
23493581
[PubMed]
PMCID:
PMC3590700
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Medknow Publications and Media Pvt Ltd Icon for PubMed Central
    Loading ...
    Write to the Help Desk