title: Biceps Tenotomy Versus Tenodesis.
abstract: Long head biceps tendon is a common cause of anterior shoulder pain. Failure of conservative treatment may warrant surgical intervention. Surgical treatment involves long head biceps tenotomy or tenodesis. Several different techniques have been described for biceps tenodesis, including arthroscopic versus open and suprapectoral versus subpectoral. Most studies comparing tenodesis to tenotomy are limited by the level of evidence and confounding factors, such as concomitant rotator cuff tear. Many studies demonstrate similar outcomes for both procedures. Surgeon preference is likely more influential in choosing between tenotomy and tenodesis. Higher-powered studies are necessary to elucidate any differences in outcomes if present.
authors.affiliation: Baylor Scott and White Orthopaedics at Garland, 601 Clara Barton Boulevard, Plaza III, Suite 250, Garland, TX 75012, USA. Electronic address: kvportho@gmail.com.
authors.forename: Kushal V
authors.initials: KV
authors.lastname: Patel
authors.affiliation: Department of Orthopaedics, Sports Medicine and Shoulder Surgery, CU Sports Medicine, University of Colorado Hospital, 311 Mapleton Avenue, Boulder, CO 80304, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Bravman
authors.affiliation: Department of Orthopaedics, Sports Medicine and Shoulder Surgery, CU Sports Medicine, University of Colorado Hospital, 311 Mapleton Avenue, Boulder, CO 80304, USA.
authors.forename: Armando
authors.initials: A
authors.lastname: Vidal
authors.affiliation: Department of Orthopaedics, CU Sports Medicine, University of Colorado Hospital, 311 Mapleton Avenue, Boulder, CO 80304, USA.
authors.forename: Ashley
authors.initials: A
authors.lastname: Chrisman
authors.affiliation: Department of Orthopaedics, Sports Medicine and Shoulder Surgery, CU Sports Medicine, University of Colorado Hospital, 311 Mapleton Avenue, Boulder, CO 80304, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: McCarty
mesh_terms: D001182:Arthroscopy; D001696:Biomechanical Phenomena; D004954:Esthetics; D006801:Humans; D010808:Physical Examination; D012782:Shoulder / Q000503:physiopathology / Q000601:surgery; D000070599:Shoulder Injuries; D020069:Shoulder Pain / Q000209:etiology / Q000601:surgery; D052256:Tendinopathy / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D013708:Tendon Injuries / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D013710:Tendons / Q000503:physiopathology / Q000601:surgery*; D053656:Tenodesis / Q000009:adverse effects / Q000379:methods; D058971:Tenotomy / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome
keywords: Biceps surgical treatment; Biceps tenodesis; Biceps tenotomy; Outcomes; Tenodesis technique