Abstract

PATINO, Juan Martín  and  CABRERA, Enrique S.. Tenodesis suprapectoral del bíceps. Resultados clínicos. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2022, vol.87, n.4, pp.488-497. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2022.87.4.1526.

Objective: To evaluate and compare outcomes in a case series of SLAP injuries and complete tears of the long head of the biceps treated with suprapectoral tenodesis using a mini-open approach. Materials and Methods: Patients aged over 18, treated between 2019 and 2020, with a minimum 1-year follow-up were included. The demographic characteristics, indication for surgery, return to activities considered usual by the patient, and complications were recorded. The American Shoulder and Elbow Surgeons (ASES) score for the shoulder was used, and the active range of motion of the affected shoulder was measured. In addition, the patients were asked if they were able to return to their daily activities. We recorded the diagnosis that led the patients to surgery and whether they had undergone a traumatic event coinciding with the onset of symptoms. Results: 8 patients were evaluated, the median age was 42.5, and the follow-up was 17 months (IQR 13.5-21.5). Six patients (75.0%) had a type II SLAP injury, and two (25.0%) had a complete LHB tear. Six patients (75.0%) associated the symptoms with a traumatic event. The final range of motion of the shoulder (median) was: flexion 180° (IQR 170°-180°), internal rotation 65° (IQR 60°-75°), and external rotation 70° (IQR 65°-87.5°). Conclusion: Suprapectoral tenodesis with a prior arthroscopic tenotomy for SLAP II cases or in cases of complete tears of the long head of the biceps is a safe technique for achieving functional outcomes.

Keywords : Biceps; suprapectoral tenodesis; tenodesis; SLAP; proximal biceps; LHB.

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