Chronic rupture of the long head of the biceps tendon: comparison of 2-year results following primary versus revision open subpectoral biceps tenodesis

被引:16
作者
Euler, Simon A. [1 ,2 ,3 ]
Horan, Marilee P. [1 ]
Ellman, Michael B. [1 ,2 ]
Greenspoon, Joshua A. [1 ]
Millett, Peter J. [1 ,2 ]
机构
[1] Steadman Philippon Res Inst, Ctr Outcomes Based Orthopaed Res COOR, 181 West Meadow Dr,Suite 1000, Vail, CO 81657 USA
[2] Steadman Clin, 181 West Meadow Dr,Suite 400, Vail, CO 81657 USA
[3] Med Univ Innsbruck, Dept Trauma Surg & Sports Traumatol, Anichstr 35, A-6020 Innsbruck, Austria
关键词
Chronic biceps rupture; Biceps score; Subpectoral tenodesis; Interference screw; Suture anchors; Revision; ROTATOR CUFF; REHABILITATION; FIXATION;
D O I
10.1007/s00402-015-2393-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Introduction The purpose of this study was to evaluate the clinical results of surgical repair for proximal long head of the biceps (LHB) tendon ruptures comparing chronic primary and postsurgical revision LHB tendon ruptures. Materials and methods Patients who underwent subpectoral LHB tenodesis for chronic ruptures with a minimum of 2 years from surgery were identified. ASES and SF-12 PCS scores and surgical and demographic data were collected prospectively. At final follow-up, patients were interviewed regarding symptoms related to their biceps. Symptoms were converted into a Subjective Proximal Biceps Score (SPBS). Results Twenty-seven patients (22 males, 5 females) with a mean age of 61 years (range 40-76 years) underwent LHB tenodeses. Twenty patients (74.1 %) were primary repairs for chronic ruptures and seven patients (25.9 %) were revision repairs after failed prior LHB tenodesis. Twenty-five patients (92.6 %; n = 18 primary; n = 7 revision) were available for follow-up a mean of 3.8 years (range 2-6.1). The overall median postoperative SPBS showed significant improvement over the preoperative baseline (p < 0.001). Individual components of the SPBS showed substantial improvements. The SPBS significantly correlated with the postoperative ASES score (r = -0.478; p = 0.038). There were no differences in postoperative SPBSs between the primary and revision tenodesis groups. The mean postoperative ASES score was 90.3 and SF-12 PCS was 52.6. Conclusions Open subpectoral LHB tenodesis was a safe and effective method for the treatment of chronic LHB tendon ruptures and for the revision of failed post-surgical LHB ruptures. Patients had less pain, cramping, and deformity after LHB tenodesis. The SPBS, ASES, and SF-12 PCS scores significantly improved among this group of patients.
引用
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页码:657 / 663
页数:7
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