2015 ISAKOS Biennial Congress ePoster #2201
Intraarticular Versus Extraarticular Biceps Tenodesis for Lesion of the Long Head Biceps Tendon
Sang-Won Cha, MD, Busan KOREA, REPUBLIC OF
Choon Key Lee, MD, Seoul, UN KOREA, REPUBLIC OF
Busan Himchan Hospital, Busan, KOREA
FDA Status Not Applicable
Summary: For the treatment of LHBT lesions, Both a intraarticular tenodesis and a extraarticular tenodesis showed favorable clinical outcomes.
Bankground: Limited information regarding optimal management of lesion of the long head of the biceps tendon(LHBT) is available in the literature.
To compare clinical outcome of a intraarticular versus extraarticular biceps tenodesis for LHBT lesion.
Study Design: Case series; Level of evidence, 4.
A consecutive series of 60 patients with long head biceps lesion of underwent arthroscopic biceps tenodesis. Among them, 42 patients who received intraarticular biceps tenodesis by tendon-to-bone interference fixation with BioComposite Tenodesis screw (Group A, N=15) or extraarticular bicpes tenodesis by lasso-loop stitch with suture anchor (Group B, N=27) were evaluated. The mean follow-up period after surgery was 24.3 months.
At the most recent follow-up, the mean University of California at Los Angeles (UCLA) score in group A improved from a preoperative mean of 16.3 ± 3.1 to 30.6 ± 4.2 (P < .001), and the Constant score improved from 52.3 ± 12.2 to 74.8 ± 12.2 (P < .001). In group B, these scores improved from 17.1 ± 4.1 to 30.3 ± 3.2 (P < .001) and 54.6 ± 13.4 to 72.8 ± 10.9 (P < .001), respectively. There were no statistically significant differences between the 2 groups. Cosmetic deformity was detected in 2 cases of group A (13.3%) and in 4 cases of group B (14.8%)
For the treatment of LHBT lesions, Both a intraarticular tenodesis and a extraarticular tenodesis showed favorable clinical outcomes. Even though the incidence of early postoperative pain in the intraarticular tenodesis group tended to be higher, there was no significant difference in the overall incidence of cosmetic deformity between the 2 groups.