TENOTOMY WITH OR WITHOUT TENODESIS OF THE LONG HEAD OF THE BICEPS USING REPAIR OF THE ROTATOR CUFF.

Autor:	Ikemoto RY; Professor; Head, Orthopedics and Traumatology Clinic of the Hospital Ipiranga; Head, Shoulder and Elbow Group of the Hospital Ipiranga, São Paulo, SP, and the ABC School of Medicine, Santo André, SP, Brazil., Pileggi PE; Medical Intern in Shoulder and Elbow Surgery, ABC School of Medicine, Santo André, SP, and Hospital Ipiranga, São Paulo, SP, Brazil., Murachovsky J; Professor; Assistant Physician, Shoulder and Elbow Group, ABC School of Medicine, Santo André, SP., Nascimento LG; Master's degree in Orthopedics; Assistant Physician, Shoulder and Elbow Group, ABC School of Medicine, Santo André, SP., Serpone RB; Master's degree in Orthopedics; Assistant Physician, Shoulder and Elbow Group, ABC School of Medicine, Santo André, SP., Strose E; Master's degree in Orthopedics; Assistant Physician, Shoulder and Elbow Group, ABC School of Medicine, Santo André, SP., Oliveira LH; Assistant Physician, Shoulder and Elbow Group, ABC School of Medicine, Santo André, SP.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ortopedia [Rev Bras Ortop] 2015 Nov 04; Vol. 47 (6), pp. 736-40. Date of Electronic Publication: 2015 Nov 04 (Print Publication: 2012).
DOI:	10.1016/S2255-4971(15)30031-8
Abstrakt:	Objective: To compare the functional results among patients undergoing tenotomy with or without tenodesis of the long head of the biceps associated with arthroscopic repair of rotator cuff injuries, with a minimum two-year follow-up. Method: This was a retrospective non-randomized trial with evidence level III, in which the medical files of 77 patients with lesions of the long head of the biceps were reviewed and clinically reassessed. Among these, 55 patients underwent tenotomy without tenodesis and 22 underwent tenotomy with tenodesis, with outpatient follow-up for at least two years. The age, dominant side, operated side, lesion size using the Gartsman classification, pre and postoperative range of motion, presence or absence of the Popeye sign, pain in the bicipital groove and assessments using the University of California at Los Angeles (UCLA) score and the elbow strength index. Results: The mean UCLA score of the sample went from 16.92 (range: 8 to 25) to 31.45 (range: 13 to 35) (p < 0.001). Comparison of the pre and postoperative UCLA scores in the two groups showed that the difference in the group with tenotomy and tenodesis was 15.95 and in the group with tenotomy alone, 14.62 (p = 0.023). However, there was no statistical significance in comparing the groups regarding pain in the bicipital groove, Popeye sign or elbow strength index. Conclusion: This study showed that the difference in UCLA scores was statistically significant. The group with tenotomy and tenodesis of the long head of the biceps presented better functional results.
Databáze:	MEDLINE
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