In the Journals

Rotator cuff repair with and without biceps tenodesis yielded equivalent outcomes

Results showed equivalent patient-determined outcomes between patients who underwent rotator cuff repair with and those who had the procedure without a percutaneous intra-articular transtendon technique biceps tenodesis.

Keith M. Baumgarten, MD, and colleagues compared preoperative and postoperative patient-determined outcome scores between patients undergoing primary arthroscopic rotator cuff repair with (n=131) and without (n=153) a percutaneous intra-articular transtendon technique biceps tenodesis. Researchers collected Western Ontario Rotator Cuff score, American Shoulder and Elbow Surgeons score, single assessment numeric evaluation, simple shoulder test and shoulder activity level. Patients with a partial, long head, biceps tendon tear or biceps instability/subluxation were indicated for a concomitant biceps tenodesis.

Results showed improvements in Western Ontario Rotator Cuff, ASES, single assessment numeric evaluation and simple shoulder test scores in patients who underwent rotator cuff repair with or without biceps tenodesis. Both groups also had deteriorations in the shoulder activity level, according to researchers. Researchers found no differences in the change in outcome scores and in complications that required revision surgery among both groups.

“Outcomes of the [percutaneous intra-articular transtendon technique] PITT tenodesis in patients with combined rotator cuff and biceps pathology were equivalent with patients undergoing rotator cuff repair without biceps pathology,” Baumgarten told Healio.com/Orthopedics. “Lastly, male gender appears to be a risk factor for biceps pathology found during rotator cuff repair.” – by Casey Tingle

Disclosures: Baumgarten reports he receives speaking fees from Arthrex and Wright Medical and consulting fees from Wright Medical. Please see the full study for a list of all other authors’ relevant financial disclosures.

Results showed equivalent patient-determined outcomes between patients who underwent rotator cuff repair with and those who had the procedure without a percutaneous intra-articular transtendon technique biceps tenodesis.

Keith M. Baumgarten, MD, and colleagues compared preoperative and postoperative patient-determined outcome scores between patients undergoing primary arthroscopic rotator cuff repair with (n=131) and without (n=153) a percutaneous intra-articular transtendon technique biceps tenodesis. Researchers collected Western Ontario Rotator Cuff score, American Shoulder and Elbow Surgeons score, single assessment numeric evaluation, simple shoulder test and shoulder activity level. Patients with a partial, long head, biceps tendon tear or biceps instability/subluxation were indicated for a concomitant biceps tenodesis.

Results showed improvements in Western Ontario Rotator Cuff, ASES, single assessment numeric evaluation and simple shoulder test scores in patients who underwent rotator cuff repair with or without biceps tenodesis. Both groups also had deteriorations in the shoulder activity level, according to researchers. Researchers found no differences in the change in outcome scores and in complications that required revision surgery among both groups.

“Outcomes of the [percutaneous intra-articular transtendon technique] PITT tenodesis in patients with combined rotator cuff and biceps pathology were equivalent with patients undergoing rotator cuff repair without biceps pathology,” Baumgarten told Healio.com/Orthopedics. “Lastly, male gender appears to be a risk factor for biceps pathology found during rotator cuff repair.” – by Casey Tingle

Disclosures: Baumgarten reports he receives speaking fees from Arthrex and Wright Medical and consulting fees from Wright Medical. Please see the full study for a list of all other authors’ relevant financial disclosures.