2017 ISAKOS Biennial Congress ePoster #2137

 

Does the Release of Transverse Ligament Improve the Results of High Arthroscopic Tenodesis?

Edoardo Franceschetti, MD, Rome ITALY
Alessio Palumbo, MD, Rome ITALY
Michele Paciotti, MD, Rome ITALY
Luca La Verde, MD, Grottaferrata ITALY
Michele Attilio Rosa, Messina, Sicily ITALY
Nicola Maffulli, MD, PhD, MS, FRCS(Orth), London UNITED KINGDOM
Rocco Papalia, MD, PhD, Prof., Rome ITALY
Francesco Franceschi, MD, PhD, Rome ITALY

Campus Bio Medico, Roma, Italy, ITALY

FDA Status Not Applicable

Summary

The arthroscopic high tenodesis whit release of the transverse humeral ligament is an easy and reproducible technique, leading to better clinical results when compared to the high tenodesis whitout release of the transverse humeral ligament.

Abstract

Background

Tendinopathy of the long head of the biceps (LHB) are causes of pain in patients undergoing arthroscopic rotator cuff repair. The management of the LHB is a key-point in shoulder arthroscopy, as it may have a strong influence on the final outcome of surgery. The purpose of this study is to compare the results of arthroscopic high tenodesis whit release of the transverse humeral ligament (AHTT) versus high tenodesis whitout release of the transverse humeral ligament (AHT)

Methods

Fifty patients with a rotator cuff tear and associated LHB tendinopathv were randomly divided. Twenty five patients underwent arthroscopic high tenodesis whit release of the transverse humeral ligament and twenty five underwent high tenodesis whit release of the transverse humeral ligament. Postoperative evaluation included VAS, Constant score, and the LHB score.

Results

At early, intermediate and final follow up (24 months) both groups showed a significant improvement in outocomes score when compared with pre-operative. The AHTT group showed better LHB and Costant score than AHT (LHB: 68 vs. 88, p < 0.05; Constant score 66 vs. 83.2, p < 0.05). Immediate post-operative pain assessed by the VAS scale was comparable in the two groups (7.4 vs 7.5, p < 0.05).

Conclusions

The AHTT is an easy and reproducible technique, leading to better clinical results when compared to the AHT.