Clinical Results of Arthroscopic Biceps Long Head Tenodesis Above the Pectoralis Major Using an Interference Screw

Choi,  Sang Su; Kang,  Hong Je; Kim,  Jeong Woo; Kim,  Jong Yun; Kim,  Dong Moon; Kim,  Kwang Mee

doi:2013.16.2.94

Clin Shoulder Elb > Volume 16(2); 2013 > Article

Original Article

Clinics in Shoulder and Elbow 2013;16(2):94-99.
DOI: https://doi.org/10.5397/CiSE.2013.16.2.94 Published online December 31, 2013.

Clinical Results of Arthroscopic Biceps Long Head Tenodesis Above the Pectoralis Major Using an Interference Screw

Sang Su Choi, Hong Je Kang, Jeong Woo Kim, Jong Yun Kim, Dong Moon Kim, Kwang Mee Kim

¹Department of Orthopaedic Surgery, Wonkwang University School of Medicine, Iksan, Korea. serina@wonkwang.ac.kr
²Department of Orthopedic Surgery, Gunsan Medical Center, Gunsan, Korea.
³Department of Social Physical Education, Wonkwang University, Iksan, Korea.
⁴Department of Nursing Science, Chodang University Muan, Chunnam, Korea.

간섭나사를 이용한 관절경적 상완 이두건 대흉근 상부 건 고정술의 임상적 결과

최상수·강홍제·김정우·김종윤*·김동문·김광미

원광대학교 의과대학 정형외과학교실, 군산의료원 정형외과^*
원광대학교 사회체육학과, 초당대학교 간호학교실

Abstract

PURPOSE
The purpose of this study is to evaluate the clinical results of arthroscopic biceps long head suprapectoral tenodesis using an interference screw. MATERIALS AND METHODS: We reviewed the cases of 30 patients who underwent arthroscopic biceps long head suprapectoral tenodesis using an interference screw between January 2008 and January 2010. The minimum follow up period was one year. Twenty patients had rotator cuff tears. The results were analyzed by VAS, ASES, tenderness in the bicipital groove, fixation failure, and the degree of deformity.
RESULTS
VAS, ASES scores showed a statistically significant increase during the final observation in all patients, compared with those before surgery. However, five patients (17%) had anterior shoulder pain and tenderness in the biceps groove, and three patients (10%) had Popeye deformity. Better results were achieved in patients without rotator cuff tear than in patients with rotator cuff tear (p<0.05).
CONCLUSION
Arthroscopic biceps long head tenodesis above the pectoralis major using an interference screw in patients with a pathologic lesion of the proximal biceps tendon showed good results at the last follow up. However, further study for tenderness in the biceps groove in 17% of patients is needed.

Key Words: Biceps tendon; Arthroscopic tenodesis; Interference screw