دورية أكاديمية
Variations in subpectoral biceps tenodesis locations do not impact clinical outcomes
| العنوان: | Variations in subpectoral biceps tenodesis locations do not impact clinical outcomes |
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| المؤلفون: | Achraf Jardaly, MD, Darren Barton, DO, Benjamin Catoe, DO, Brent A. Ponce, MD, Michael Tucker, MD, Champ Baker, Jr., MD, Champ Baker, III, MD |
| المصدر: | JSES International, Vol 8, Iss 2, Pp 278-281 (2024) |
| بيانات النشر: | Elsevier, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Orthopedic surgery LCC:Diseases of the musculoskeletal system |
| مصطلحات موضوعية: | Biceps tenodesis, Subpectoral biceps tenodesis, Tenodesis tunnel, Patient-reported outcomes, Shoulder, Long head of biceps, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935 |
| الوصف: | Background: Biceps tenodesis is a common treatment for pathologies involving the long head of the biceps brachii. Given variations in surgical approach, focus has been placed on the location of the tenodesis to maintain appropriate length-tension relationship. The purpose of this study is to assess for variations in the tunnel placement in subpectoral biceps tenodesis procedures and correlation of tunnel position with patient-reported outcomes. Methods: This is a retrospective case series of outcomes as a function of tunnel location with open subpectoralis biceps tenodesis. The location of the biceps tenodesis tunnel was measured on postoperative Grashey radiographs. Correlation between the tenodesis tunnel and postoperative American Shoulder and Elbow Surgeons (ASES) score and Visual Analog Scale (VAS) was assessed. Results: 31 patients were included in the study with an average follow-up of 17 months. The overall tunnel position from the superior edge of the greater tuberosity ranged from 4.20 cm to 12.61 cm, with an average of 7.46 cm. Final ASES score and VAS were 84.5 and 1.2, respectively. There was only weak correlation between both ASES score and tunnel position (r = −0.12) and VAS and tunnel position (r = −0.23). Discussion: Subpectoralis biceps tenodesis continues to be a viable treatment option for biceps and superior labral pathology. There remains no consensus on tenodesis location, and this study found no significant difference between tunnel location and patient-reported outcomes. Therefore, it is likely that a range of tenodesis locations exists in which favorable clinical results are achieved, explaining the numerous recommendations on tunnel placement. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2666-6383 |
| العلاقة: | http://www.sciencedirect.com/science/article/pii/S2666638323001469Test; https://doaj.org/toc/2666-6383Test |
| DOI: | 10.1016/j.jseint.2023.05.017 |
| الوصول الحر: | https://doaj.org/article/715168f663e24f2bba52860a7b8ff987Test |
| رقم الانضمام: | edsdoj.715168f663e24f2bba52860a7b8ff987 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 26666383 |
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| DOI: | 10.1016/j.jseint.2023.05.017 |