SynthesisPloS one2017
A meta-analysis comparing tenotomy and tenodesis for treating rotator cuff tears combined with long head of the biceps tendon lesions.
Synthesis in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 7 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Onlay Versus Inlay Biceps Tenodesis for Long Head of Biceps Tendinopathy: A Systematic Review and Meta-analysis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Pooled it
- Hamstring, bone-patellar tendon-bone, quadriceps and peroneus longus tendon autografts for primary isolated posterior cruciate ligament reconstruction: a systematic review.British medical bulletin · 2022Pooled it
- Interference screws vs. suture anchors for isolated medial patellofemoral ligament femoral fixation: A systematic review.Journal of sport and health science · 2022Pooled it
- Superior Capsular Reconstruction of the Shoulder Using the Long Head of the Biceps Tendon: A Systematic Review of Surgical Techniques and Clinical Outcomes.Medicina (Kaunas, Lithuania) · 2021Pooled it
- Pooled it
- A meta-analysis comparing tenotomy or tenodesis for lesions of the long head of the biceps tendon with concomitant reparable rotator cuff tears.Journal of orthopaedic surgery and research · 2019Pooled it
- Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears: A systematic review and meta-analysis.PloS one · 2018Pooled it
- A comparison of ice wrap and subacromial injection for postoperative pain and edema control following arthroscopic rotator cuff repair.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2020Trial
- Biceps tenotomy has earlier pain relief compared to biceps tenodesis: a randomized prospective study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Trial
- A novel, simple, and affordable technique for arthroscopic soft-tissue tenodesis of the long head of the biceps tendon.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Does Concomitant Biceps Tenotomy Affect Shoulder Proprioception and Strength? A Prospective Intra‑Individual Comparison After Arthroscopic Rotator Cuff Repair.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Comparison of isolated tenotomy vs. tenotomy with tenodesis for long head of biceps tendon in middle-aged and elderly patients undergoing rotator cuff repair: a retrospective study.Frontiers in surgery · 2025Article
- Novel all-arthroscopic biceps tenodesis technique incorporated into rotator cuff repair-two hundred cases with minimum 2-year follow-up.JSES international · 2024Article
- Biceps-based 3-layer reconstruction of the irreparable rotator cuff: a technical note on biceps tendon as a common local graft for in-situ superior capsular reconstruction, partial cuff repair, and middle trapezius tendon transfer.Journal of orthopaedic surgery and research · 2023Article
- Is biceps tenodesis necessary when performing arthroscopic rotator cuff repair in patients older than 55 years?Archives of orthopaedic and trauma surgery · 2023Article
- The long head of biceps at the shoulder: a scoping review.BMC musculoskeletal disorders · 2023Article
- [Comparison of the effectiveness of the long head of the biceps tendon with or without proximal amputation after arthroscopic repair of the rotator cuff].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Outcomes of Biceps Tenotomy Versus Tenodesis During Arthroscopic Rotator Cuff Repair: An Analysis of Patients From a Large Multicenter Database.Orthopaedic journal of sports medicine · 2022Article
- Subpectoral Biceps Tenodesis Using an All-Suture Anchor.Arthroscopy techniques · 2022Article
- Neurostimulation as an Efficacious Nonpharmacologic Analgesic following Arthroscopic Rotator Cuff Repair.Case reports in anesthesiology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this meta-analysis was to assess whether there were differences in the outcomes between tenotomy and tenodesis in treating LHBT lesions combined with rotator cuff repairs.
methodsUsing Medline, Embase, and Cochrane, we searched for articles comparing tenotomy and tenodesis combined with rotator cuff repair which were published before April 2016 with the terms "biceps", "tenotomy", "tenodesis", and "rotator cuff". The controlled clinical studies that met the inclusion and exclusion criteria were assessed for quality of methodology by utilizing the Coleman score.
resultsOn the basis of the inclusion and exclusion criteria, ten articles (903 patients) were included in this meta-analysis. The Coleman score ranged between 40 and 89 in the included studies. The results showed that the incidence of the popeye sign (OR, 2.777, P = 0.000) were higher in tenotomy group compared with tenodesis group when concomitant rotator cuff repair. Statistically significant difference in favor of tenodesis was observed for Constant score (SMD, -0.230, P = 0.025). As for the arm cramping pain, patient satisfaction, VAS score, ASES score and UCLA increased score, the strength and the range of motion, there were no significant differences between tenodesis and tenotomy of the LHBT, corresponding to the currently available results in the literature.
conclusionsBased on this meta-analysis, both tenotomy and tenodesis are effective in pain relief and function improvement in patients with repairable rotator cuff tears. No significant differences in post-operative functional outcome between tenotomy and tenodesis for the treatment of LHBT lesions were observed except for a lower Constant score and higher risk of Popeye deformity in tenotomy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.