Tenodesis has higher functional outcome; tenotomy has shorter OR times in LHBT treatment .
Tenotomy or tenodesis for the long head of biceps lesions in shoulders: a systematic review and meta-analysis
PLoS One. 2015 Mar 18;10(3):e0121286Seven studies (3 randomized controlled trials; 4 cohort studies) were included in this meta-analysis comparing tenodesis and tenotomy in the management of patients with lesions of the long head of the biceps tendon. Meta-analysis was performed on Constant score, complications, satisfaction, and operative time. Qualitative assessment was undertaken for postoperative range of motion. Tenodesis demonstrated higher postoperative Constant scores and lower rates of cramp pain and Popeye deformity, while no significant differences were observed in satisfaction or range of motion. Operative time was significantly shorter for tenotomy.
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