Korean J Sports Med.  2014 Dec;32(2):133-138. 10.5763/kjsm.2014.32.2.133.

Arthroscopic Biceps Tenodesis: Soft Tissue versus Bone Fixation

• Kim YK
• Jung KH
• Kim DH

• KMID: 2288670
• DOI: http://doi.org/10.5763/kjsm.2014.32.2.133

Abstract

The purpose of our study was to compare the clinical results between arthroscopic bone fixation on intertubercular groove using suture anchor and soft tissue fixation at the rotaor interval for biceps tenodesis when partial tear or instability of biceps tendon accompanied with rotator cuff tear. From January 2010 to January 2012, 34 cases who were performed biceps tenodesis for partial tear or instability were enrolled in our study. Mean follow-up period was 30.2 months. Bone fixation using suture anchor was performed in 18 cases, and soft tissue fixation was performed in 16 cases. Clinical result was evaluated by pain visual analogue scale (VAS), Speed test, Yergason test, muscle strength, and Constant score. Pain VAS of cases with soft tissue fixation was significantly higher than that of cases with bone fixation at 6 months and final follow-up. Positive results for the final follow-up Speed and Yergason test were checked in 4 cases (25%) with soft tissue fixation and 1 (5.6%) with bone fixation. The Popeye deformity was seen in 4 cases (25%) with soft tissue fixation and 2 (11%) with bone fixation. Constant score was improved 47 to 78 in cases with soft tissue fixation and 48 to 86 in cases with bone fixation. In patient with partial tear or instability of biceps tendon accompanied with rotator cuff tear, biceps tenodesis using soft tissue fixation showed worse result compared with bone fixation because of long duration of the pain. Therefore, when performing the biceps tenodesis, bone fixation will be recommended.

Keyword

Shoulder; Biceps long head; Tenodesis; Soft tissue fixation; Bone fixation

MeSH Terms

Congenital Abnormalities
Follow-Up Studies
Humans
Muscle Strength
Rotator Cuff
Shoulder
Suture Anchors
Tendons
Tenodesis*
Tissue Fixation

Figure

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  Fig. 1. (A) This is an illustration figure of bony tenodesis and there are 2 strands through the biceps tendon like Z shape. There are arthroscopic findings of bony tenodesis after passing (B) and tying (C) the biceps tendon with non-absorbable sutures.

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  Fig. 2. There are arthroscopic findings of soft tissue tenodesis after passing (A) and tying (B) the biceps tendon with non-ab-sorbable sutures.

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