J Korean Shoulder Elbow Soc.  2008 Dec;11(2):104-111.

Mid-term Results of Biceps Incorporating Suture Without Deteaching the Biceps Tendon from the Flenoid in the Large or Massive Cuff Tear

• Ji JH
• Park SE
• Kim YY
• Kim WY
• Kewon OS
• Jang DG
• Moon CY

Abstract

PURPOSE: The aim of this study is to analyze the clinical results of using the technique of rotator cuff repair without parting the biceps long head from the glenoid for large or massive tear of the rotator cuff. MATERIAL AND METHODS: Form January 2005 to January 2007, we performed the arthroscopic biceps repair with incorporating suture to the rotator cuff for 21 patients with large or massive rotator cuff tear. The mean follow up period was 23 months (range: 6-48months). The number of males and females was 9 and 13, respectively. The age distribution ranged from 47 to 73 years with a mean age of 60.3 years. We compared the preoperative score with the postoperative scores using the University of California Los Angeles (UCLA) score, the shoulder index of the American Shoulder and Elbow Surgeons (ASES) and a simple shoulder test (SST).
RESULTS
The improvement in the VAS, ASES and the UCLA and SST scores was statistically significant at the final follow up (average follow-up 23 months) (p>0.05). Two of nine cases were found to have partial tear with continuity but seven cases were found to have complete tear according to the ultrasonography and MRI.
CONCLUSION
The technique of rotator cuff repair without parting the biceps long head from the glenoid for large or massive tear of the rotator cuff is considered to be recommendable.

Keyword

Rotator cuff large tear; Massive tear; Biceps tendon long head; Arthroscopic rotator cuff repair

MeSH Terms

Age Distribution
California
Elbow
Female
Follow-Up Studies
Head
Humans
Los Angeles
Male
Rotator Cuff
Shoulder
Sutures
Tendons