title: Using the LHB score for assessment of LHB pathologies and LHB surgery: a prospective study.
abstract: BACKGROUND
  The long head of biceps tendon (LHB) score was designed to clinically assess LHB pathologies. Purpose of this study was to prospectively assess patients with LHB pathologies preoperatively and after LHB surgery using the LHB score.
  
  
  METHODS
  Fifty-seven patients (29 f/28 m, Ø age 61.0 years), showing clinical signs of LHB pathologies, were prospectively included into this study. In 43 patients LHB pathologies could be confirmed intraoperatively. Among these, in 26 patients a biceps tenodesis (group I; 8 f/18 m, Ø age 61.2 years), and in 17 patients a biceps tenotomy was performed (group II; 12 f/5 m, Ø age 64.2 years). In 14 patients no intraoperative correlate concerning the biceps symptoms could be found (group III; 9 f/5m, Ø age 56.8 years). In these patients no further LHB treatment was carried out. The clinical evaluation contained the Constant score (CS) as well as the LHB score preoperatively and 2 years postoperatively.
  
  
  RESULTS
  The CS improved significantly in all the three groups [group I: 41.7 (20-70) to 81.3 (62-100); group II: 42.2 (18-66) to 75.3 (41-84); group III: 45.7 (22-77) to 72.9 (48-85)] (p < 0.05). Also the LHB score increased significantly in all three groups [group I: 74.3 (41-97) to 94.2 (80-100); group II: 73.4 (57-97) to 84.2 (49-100); group III: 71.1 (58-80) to 90.8 (70-100)] (p < 0.05). Compared to group II, group I showed significant better results in the total LHB score and in the cosmetic result (p < 0.05).
  
  
  CONCLUSIONS
  We recommend that patients with LHB pathologies are evaluated using the LHB score, since it provides LHB related information and is a proper tool to assess the clinical outcome after surgery. However, the score is not appropriate to detect LHB pathologies preoperatively.
  
  
  METHODS
  II.
authors.affiliation: Center for Musculoskeletal Surgery, Campus Virchow, Charité, Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Kerschbaum
authors.affiliation: Center for Musculoskeletal Surgery, Campus Virchow, Charité, Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
authors.forename: L
authors.initials: L
authors.lastname: Arndt
authors.affiliation: Center for Musculoskeletal Surgery, Campus Virchow, Charité, Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Bartsch
authors.affiliation: Center for Musculoskeletal Surgery, Campus Virchow, Charité, Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Chen
authors.affiliation: Center for Musculoskeletal Surgery, Campus Virchow, Charité, Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Gerhardt
authors.affiliation: Center for Musculoskeletal Surgery, Campus Virchow, Charité, Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. markus.scheibel@charite.de.
authors.forename: M
authors.initials: M
authors.lastname: Scheibel
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012720:Severity of Illness Index; D012782:Shoulder / Q000473:pathology / Q000601:surgery*; D052256:Tendinopathy / Q000175:diagnosis* / Q000601:surgery; D053656:Tenodesis; D058971:Tenotomy; D016896:Treatment Outcome
keywords: Biceps tendon; LHB score; Outcome measurement; Tenodesis; Tenotomy