No Difference in Clinical Outcomes for Arthroscopic Suprapectoral Versus Open Subpectoral Biceps Tenodesis at Midterm Follow-up: A Randomized Prospective Analysis
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(12):87 Am J Sports Med. 2022 May;50(6): 1486-1494.What this means for my practice?
Patients who received arthroscopic and open biceps tenodesis demonstrated comparable patient-reported clinical outcomes after ~3 years post-operation. Arthroscopic biceps tenodesis took significantly longer to perform vs. open surgery. This study was limited by the lack of assessment of return to work and sporting outcomes, and the exclusion of closure time when assessing operative time.
Study Summary
Eighty-five patients with a long head of the biceps tendon pathology were randomized to receive open (n=43) or arthroscopic (n=42) suprapectoral biceps tenodesis. Outcomes of interest included patient-reported outcomes (American Shoulder and Elbow Surgeons [ASES] Constant score, and Single Assessment Numeric Evaluation [SANE]). This was a mid term follow up study, with an average follow-up time of 2.9 years. No significant differences in all outcomes were observed between the two groups at final follow-up.
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