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Corresponding Author

1. Gamal Ahmed Mohamed

Document Type

Original Article

Abstract

Background: Tendinopathy of the long head of the biceps brachii (LHB), which is often caused by trauma, microinstability, increased activity, or an underlying inflammatory disease, is a common cause of anterior shoulder pain. Biceps tendon injuries are further complicated by the presence of pulley system lesions and associated risk factors, including a prior rotator cuff tear history and insufficient training.

Objectives: This study aimed to evaluate the short-term functional outcomes of patients who underwent arthroscopic suprapectoral biceps tenodesis for symptomatic biceps tendinopathy, focusing on a technique that avoids complications associated with open tenodesis surgery.

Methods: A prospective cohort study involved 20 individuals (20 shoulders) who underwent the arthroscopic suprapectoral biceps tenodesis procedure. Patient demographics, symptom duration, and functional outcomes were assessed.

Results: The study cohort comprised 11 females (55%) and 9 males (45%), with a mean age of 44.4 years. The majority (70%) had the procedure performed on their dominant shoulder. The mean pre-operative symptom duration was 9.6 months, and patients were followed up for an average of 8.6 months. The technique's key advantage lies in its ability to remove the inflamed portion of the biceps stump, alleviating potential sources of postoperative pain during rehabilitation.

Conclusion: One surgical option for symptomatic biceps tendinopathy is an arthroscopic suprapectoral biceps tenodesis. By targeting the root causes of inflammation and reducing tissue disruption, this method provides improved functional results in the short term, making it especially well-suited for individuals who engage in physical activity.

Keywords

Arthroscopic suprapectoral biceps tenodesis; Biceps tendinopathy; Short-term functional outcome; Prospective cohort study

Subject Area

Orthopedics

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