title: Ultrasound evaluation of the distal migration of the long head of biceps tendon following tenotomy in patients undergoing arthroscopic repair of tears of the rotator cuff.
abstract: This study evaluates the position of the long   head of biceps tendon using ultrasound following simple tenotomy,   in patients with arthroscopically repaired rotator cuff tears. In total, 52 patients with a mean age of 60.7 years (45 to 75)   underwent arthroscopic repair of the rotator cuff and simple tenotomy   of the long head of biceps tendon. At two years post-operatively,   ultrasound revealed that the tendon was inside the bicipital groove   in 43 patients (82.7%) and outside in nine (17.3%); in six of these   it was lying just outside the groove and in the remaining three   (5.8%) it was in a remote position with a positive Popeye Sign.   A dynamic ultrasound scan revealed that the tenotomised tendons   had adhered to the surrounding tissues (autotenodesis).The initial   condition of the tendon influenced its final position (p < 0.0005).   The presence of a Popeye sign was statistically influenced by the   pre-operative co-existence of supraspinatus and subscapularis tears (p   < 0.0001). It appears that the natural history of the tenotomised long head   of biceps tendon is to tenodese itself inside or just outside the   bicipital groove, while its pre-operative condition and coexistent   subscapularis tears play a significant role in the occurrence of   a Popeye sign.
authors.affiliation: G. Papanikolaou General Hospital, 1st Orthopaedic Department, 57010 Exohi, Thessaloniki, Greece.
authors.forename: D
authors.initials: D
authors.lastname: Karataglis
authors.forename: P
authors.initials: P
authors.lastname: Papadopoulos
authors.forename: A
authors.initials: A
authors.lastname: Boutsiadis
authors.forename: A
authors.initials: A
authors.lastname: Fotiadou
authors.forename: K
authors.initials: K
authors.lastname: Ditsios
authors.forename: I
authors.initials: I
authors.lastname: Hatzokos
authors.forename: A
authors.initials: A
authors.lastname: Christodoulou
mesh_terms: D000368:Aged; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017006:Rotator Cuff / Q000000981:diagnostic imaging* / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D013708:Tendon Injuries / Q000601:surgery*; D013710:Tendons / Q000000981:diagnostic imaging* / Q000601:surgery; D058971:Tenotomy; D016896:Treatment Outcome; D014463:Ultrasonography