Patients with biceps long head tendinopathy prefer biceps tenodesis than tenotomy. A preliminary report in a medical center in Taiwan
Chih-Kai Hong；Chih-Hsun Chang；Cheng-Li Lin；Kai-Lan Hsu；Fa-Chuan Kuan；Wei-Ren Su
biceps tendon ； patients' preference ； tenodesis ； tenotomy
Formosan Journal of Musculoskeletal Disorders
|Volume or Term/Year and Month of Publication||
9卷3期（2018 / 08 / 01）
96 - 100
Background: Both biceps tenotomy and tenodesis are effective treatment options for treating anterior shoulder pain. Purpose: The purpose of this study is to investigate the patient's preference and associated factors on the decision making between biceps tenotomy and tenodesis. Methods: Questionnaires were completed by the patients who were admitted for arthroscopic surgery due to shoulder pain on the day before the surgery. Patients' current symptoms, patients' concern, patients' selection, and their personal demographic information were collected. A total of 34 patients were included, with 23 male patients and 11 female patients. Results: Of 34 patients, 76% preferred to have biceps tenodesis surgeries. The preference between different gender groups and age groups were not different. Factors predictive of choosing a biceps tenodesis included importance of the appearance of biceps, concerns regarding cosmetic deformity with a tenotomy, and wills on revision surgery for biceps ＂Popeye＂ appearance (p = 0.021, 0.006, and 0.039, respectively). Whereas, factors predictive of choosing a biceps tenotomy included high level of acromioclavicular joint pain and concerns regarding a longer recovery time with a tenodesis (p = 0.018 and 0.004). Conclusion: Based on the finding in this preliminary study, we concluded that high proportion of patients with biceps long head tendinopathy favored biceps tenodesis than biceps tenotomy, even in patients older than age of 55 years. There are 5 predictive factors that can assist surgeons in making decisions for selecting between biceps tenotomy and tenodesis.