Ultrasound-Guided Percutaneous Tenotomy of the Long Head of Biceps Tendon in Patients with Symptomatic Complete Rotator Cuff Tear: In Vivo Non-contRolled Prospective Study

Autor: Sconfienza, Luca Maria, Albano, Domenico, Messina, Carmelo, Gitto, Salvatore, Guarrella, Vincenzo, Perfetti, Carlo, Taverna, Ettore, Arrigoni, Paolo, Randelli, Pietro Simone
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Clinical Medicine
Journal of Clinical Medicine, Vol 9, Iss 2114, p 2114 (2020)
Volume 9
Issue 7
ISSN: 2077-0383
Popis: Background: We prospectively tested technical feasibility and clinical outcome of percutaneous ultrasound-guided tenotomy of long head of biceps tendon (LHBT). Methods: We included 11 patients (6 women
age: 73 ±
8.6 years) with symptomatic full-thickness rotator cuff tear and intact LHBT, in whom surgical repair was not possible/refused. After ultrasound-guided injection of local anesthetic, the LHBT was cut with a scalpel under continuous ultrasound monitoring until it became no longer visible. Pain was recorded before and at least six months after procedure. An eight-item questionnaire was administered to patients at follow-up. Results: A median of 4 tendon cuts were needed to ensure complete tenotomy. Mean procedure duration was 65 ±
5.7 s. Mean length of skin incision was 5.8 ±
0.6 mm. Pre-tenotomy VAS score was 8.2 ±
0.7, post-tenotomy VAS was 2.8 ±
0.6 (p <
0.001). At follow-up, 5/11 patients were very satisfied, 5/11 satisfied and 1/11 neutral. One patient experienced cramping and very minimal pain in the biceps. Six patients had still moderate shoulder pain, 1/11 minimal pain, 2/11 very minimal pain, while 2/11 had no pain. No patients had weakness in elbow flexion nor limits of daily activities due to LHBT. One patient showed Popeye deformity. All patients would undergo ultrasound-guided tenotomy again. Conclusion: ultrasound-guided percutaneous LHBT tenotomy is technically feasible and effective.
Databáze: OpenAIRE
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