Literature DB >> 20471866

Complications associated with subpectoral biceps tenodesis: low rates of incidence following surgery.

Shane J Nho1, Stefanie N Reiff, Nikhil N Verma, Mark A Slabaugh, Augustus D Mazzocca, Anthony A Romeo.   

Abstract

BACKGROUND: Tenodesis of the long head of the biceps tendon is a common procedure used to alleviate pain caused by instability or inflammation of the tendon. The purpose of this study is to report on the incidence and types of complications following an open subpectoral biceps tenodesis (OBT) procedure. HYPOTHESIS: Our hypothesis was that the rate of adverse events after OBT was low.
METHODS: From January 2005 to December 2007, all patients that underwent an OBT with bioabsorbable interference screw fixation performed by 1 of the 2 senior authors for biceps tendonitis were reviewed, excluding tenotomy, revision cases, or fixation methods other than interference screw fixation.
RESULTS: Over a 3-year period, 7 of 353 patients had complications with OBT with an incidence of 2.0%. The mean age of patients with complications was 44.67 years, with 57.1% males and 42.9% females. There were 2 patients (0.57%) with persistent bicipital pain. Two patients (0.57%) had failure of fixation resulting in a Popeye deformity. One patient (0.28%) presented with a deep postoperative wound infections that necessitated irrigation and debridement with intravenous antibiotics. Another patient (0.28%) developed a musculotaneous neuropathy. Another patient (0.28%) developed reflex sympathetic dystrophy necessitating pain management and stellate ganglion block.
CONCLUSION: The incidence of complications after subpectoral biceps tenodesis with interference screw fixation in a population of 353 patients over the course of 3 years was 2.0%. 2010 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

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Year:  2010        PMID: 20471866     DOI: 10.1016/j.jse.2010.01.024

Source DB:  PubMed          Journal:  J Shoulder Elbow Surg        ISSN: 1058-2746            Impact factor:   3.019


  56 in total

Review 1.  Physical examination tests and imaging studies based on arthroscopic assessment of the long head of biceps tendon are invalid.

Authors:  Robert W Jordan; Adnan Saithna
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2015-11-26       Impact factor: 4.342

2.  A simple surgical technique for subpectoral biceps tenodesis using a double-loaded suture anchor.

Authors:  William F Scully; David J Wilson; Jason A Grassbaugh; Joanna G Branstetter; Bryant G Marchant; Edward D Arrington
Journal:  Arthrosc Tech       Date:  2013-05-23

3.  Biomechanical characterization of unicortical button fixation: a novel technique for proximal subpectoral biceps tenodesis.

Authors:  Joseph P DeAngelis; Alvin Chen; Michael Wexler; Benjamin Hertz; Leandro Grimaldi Bournissaint; Ara Nazarian; Arun J Ramappa
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2013-11-20       Impact factor: 4.342

4.  [Subpectoral tenodesis of the long head of the biceps tendon for pathologies of the long head of the biceps tendon and the biceps pulley].

Authors:  S Braun; P Minzlaff; A B Imhoff
Journal:  Oper Orthop Traumatol       Date:  2012-11       Impact factor: 1.154

5.  The low-anterolateral portal for arthroscopic biceps tenodesis: description of technique and cadaveric study.

Authors:  Michael L Knudsen; Jason C Hibbard; David J Nuckley; Jonathan P Braman
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2013-02-12       Impact factor: 4.342

6.  Arthroscopic Biceps Tenodesis From a Superior Viewing Portal in the Shoulder.

Authors:  Andrew A Tarleton; Liang Zhou; Michael J O'Brien; Felix H Savoie
Journal:  Arthrosc Tech       Date:  2015-08-24

7.  [Subpectoral tenodesis of the long head of the biceps tendon with an interference screw and a cortical button : Clinical and cosmetic results after 1 year].

Authors:  P-C Nolte; N Pister; F Holz; M Egenolf; T Chatterjee
Journal:  Orthopade       Date:  2017-10       Impact factor: 1.087

Review 8.  [Surgical treatment of anterosuperior impingement of the shoulder].

Authors:  J Pogorzelski; K Beitzel; A B Imhoff; P Millett; S Braun
Journal:  Oper Orthop Traumatol       Date:  2016-08-02       Impact factor: 1.154

9.  Open Versus Arthroscopic Biceps Tenodesis: A Comparison of Functional Outcomes.

Authors:  Kyle R Duchman; David E DeMik; Bastian Uribe; Brian R Wolf; Matthew Bollier
Journal:  Iowa Orthop J       Date:  2016

10.  Biomechanical consequences of proximal biceps tenodesis stitch location: musculotendinous junction versus tendon only.

Authors:  Ulrich J Spiegl; Sean D Smith; Simon A Euler; Peter J Millett; Coen A Wijdicks
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2014-06-27       Impact factor: 4.342

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