Bicipital Tenotomy Versus Tenodesis in Rotator Cuff tear: Randomized Controlled Study

Abstract

The long head of the biceps tendon (LHBT) is a common cause of anterior shoulder pain. LHBT pathology can be classified as follows: LHBT degeneration (peritendinous inflammation, hypertrophy, partial or complete tear), LHBT anchor disorders (SLAP lesions), and LHBT instability (subluxation or dislocation). This pathology might occur as primary isolated LHB tendinopathy but is commonly associated with more complex disorders, such as shoulder instability or supraspinatus tendon tears. (14) The recognition and treatment of biceps lesions associated with rotator cuff disease has resulted in better patient outcomes. It is now appreciated that biceps tendon pathology is an important “pain generator” and that ignoring the biceps tendon may compromise the clinical outcome of treatment. (14) The aim of this study was to compare the effectiveness of subpectoral tenodesis and tenotomy in treatment of LHBT lesions with rotator cuff tears in patients above 50 years. The endpoint was post-operative differences in Constant and ASES scores between the 2 groups at final