Evidence map›Paper›PMID 31372811›Full record

ArticleInternational orthopaedics2019

In-office shoulder arthroscopy and tenotomy of the long head of the biceps tendon-a cadaveric feasibility study.

Ion-Andrei Popescu, Frédéric Teboul, Jean-Nöel Goubier, Amir Ghazanfari

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Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Ion-Andrei PopescuCentre International de Chirurgie de la Main, 92, Boulevard de Courcelles, 75017, Paris, France. ionandrei.popescu@yahoo.com.ORCID 0000-0002-9322-5000
Frédéric TeboulCentre International de Chirurgie de la Main, 92, Boulevard de Courcelles, 75017, Paris, France.
Jean-Nöel GoubierCentre International de Chirurgie de la Main, 92, Boulevard de Courcelles, 75017, Paris, France.
Amir GhazanfariMIRABIS Institute-Surgical Innovation Center, Constanta, Romania.
Institut Technique de l'Aviculture · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStudies have shown that isolated tenotomy of the long head of the biceps (LHB) improves significantly pain scores, active range of motion and Constant score in elderly patients with massive and irreparable cuff tears with no osteoarthritis. This cadaveric study was performed to assess the feasibility of a tenotomy of the LHB and subacromial corticosteroid injection using a minimally invasive in-office setting under local anaesthesia on awake patients. MATERIALS AND

methodsTwenty scare-free shoulders were included in the study. We performed the procedure in an in-office setting using a wrist arthroscope with no fluid, connected to wireless camera and light source. A standard shoulder arthroscopy was finally performed in order to analyse the tenotomy quality and detect possible iatrogenic lesions.

resultsThe LHB tendon was cut fully in all cases, the mean length of the proximal stump of the LHB was 0.4 cm (range, 0.3-0.7 mm) and the mean duration of the surgery was 3.5 minutes (range, 2.43-3.86 min). No iatrogenic lesion occurred during the in-office procedure.

conclusionThis cadaveric study suggests that it is feasible and safe to perform, under local anaesthesia, a minimally invasive arthroscopic tenotomy of the LHB and subacromial injection using an in-office setting. Further clinical studies are needed to confirm the reliability, indication and effectiveness of this technique.

Indexed as

AgedAmbulatory Surgical ProceduresArthroscopyCadaverFeasibility StudiesFemaleHumansMaleMiddle AgedMuscle, SkeletalReproducibility of ResultsRotator Cuff InjuriesTendon InjuriesTenotomyBiceps tenotomyIn-office arthroscopyIn-office surgeryLong head of the bicepsMassive rotator cuff tearShoulder arthroscopy

Identifiers

PMID31372811
OpenAlexW2965506500

What OpenQuestion holds

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Registered trials

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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.