Long head of biceps tenotomy versus tenodesis: a systematic review and meta-analysis of randomized controlled trials
| Autor: | Mohammed Al Ateeq Al Dosari, Shady Mahmoud, Abdulaziz F Ahmed, Bashir A. Zikria, Ghalib Ahmed, Ammar Toubasi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Shoulder
030222 orthopedics medicine.medical_specialty Head (linguistics) business.industry medicine.medical_treatment Rehabilitation Tenotomy Physical Therapy Sports Therapy and Rehabilitation 030229 sport sciences Biceps law.invention Surgery 03 medical and health sciences 0302 clinical medicine Primary outcome Randomized controlled trial law Meta-analysis medicine Orthopedics and Sports Medicine Biceps tendon business |
| Zdroj: | Shoulder Elbow |
| ISSN: | 1758-5740 1758-5732 |
| Popis: | Objective To compare tenotomy versus tenodesis for the treatment of long head of the biceps tendon pathologies. The primary outcome was the shoulder functional outcome. The secondary outcomes consisted of postoperative pain, elbow flexion and forearm supination strengths and postoperative complications. Methods PubMed, MEDLINE, Google Scholar and Web of Science were searched until April 2020. Included studies were randomized controlled trials with a minimum 12 months’ follow-up. Results Both treatments had similar improvement on the Constant–Murley score at 6 months and 12 months. However, tenotomy had a significantly lower Constant–Murley score at two years with a mean difference of −1.13 (95% confidence interval −1.9, −0.35). Furthermore, tenotomy had a risk ratio of 2.46 (95% confidence interval 1.66, 3.64) for developing Popeye’s deformity. No significant difference was detected in other functional outcomes, pain, or elbow flexion and forearm strength indices. Discussion Tenodesis and tenotomy are both well-established techniques that similarly yield satisfactory outcomes. Despite that tenodesis had a statistically significant better Constant–Murley score at two years, this was clinically irrelevant. With the current evidence, we recommend either technique for the management of the long head of the biceps tendon pathologies. Level of evidence Therapeutic, Level II |
| Databáze: | OpenAIRE |
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