SynthesisInternational orthopaedics2022
Tenodesis yields better functional results than tenotomy in long head of the biceps tendon operations-a systematic review and meta-analysis.
Synthesis in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Two-year outcomes of ultrasound-guided percutaneous tenotomy for long head of the biceps tendinopathy.International orthopaedics · 2026Article
- Comparison of subacromial volume and clinical parameters of patients who underwent biceps tenotomy or tenodesis due to long head of biceps tendon pathologies during rotator cuff repair surgery.Acta orthopaedica et traumatologica turcica · 2026Article
- Article
- Chinese Knot Stitch Technique: A Simple Technique for Arthroscopic Biceps Tenodesis.Arthroscopy techniques · 2025Article
- Spin is Prevalent in the Abstracts of Systematic Reviews and Meta-Analyses Comparing Biceps Tenodesis and Tenotomy Outcomes.International orthopaedics · 2025Article
- The impact of biceps tenotomy/tenodesis on Popeye sign incidence and functional outcome.JSES international · 2025Article
- How to Expose the Long Head of the Biceps Tendon in Shoulder Arthroscopy Efficiently: The Tubercle-Traction and Touch-Tendon Method.Arthroscopy techniques · 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
- The Clinical Outcomes of Arthroscopic Tenotomy versus Tenodesis with Medium-to-Massive Rotator Cuff Tear in the Elderly: A Retrospective Study.Clinical interventions in aging · 2025Article
- Biceps tenotomy vs. tenodesis: an ACS-NSQIP analysis of postoperative outcomes and utilization trends.JSES international · 2024Article
- Modified arthroscopic intra-articular transtendinous looped biceps tenodesis leads to satisfactory functional outcomes and less frequent Popeye deformity compared to biceps tenotomy.Journal of orthopaedic surgery and research · 2023Article
- Fast Arthroscopic Biceps Tenodesis Without Penetrating Grasper.Arthroscopy techniques · 2023Article
- Letter to the Editor concerning "Tenodesis yields better functional results than tenotomy in long head of the biceps tendon operations-a systematic review and meta-analysis".International orthopaedics · 2022Article
- The high resistance loop (H-loop) technique used for all-inside arthroscopic knotless suprapectoral biceps tenodesis: A case series.Frontiers in surgery · 2022Article
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPathology of the long head of the biceps tendon (LHBT) is a common disorder affecting muscle function and causing considerable pain for the patient. The literature on the two surgical treatment methods (tenotomy and tenodesis) is controversial; therefore, our aim was to compare the results of these interventions.
methodsWe performed a meta-analysis using the following strategy: (P) patients with LHBT pathology, (I) tenodesis, (C) tenotomy, (O) elbow flexion and forearm supination strength, pain assessed on the ten-point Visual Analog Scale (VAS), bicipital cramping pain, Constant, ASES, and SST score, Popeye deformity, and operative time. We included only randomized clinical trials. We searched five databases. During statistical analysis, odds ratios (OR) and weighted mean differences (WMD) were calculated for dichotomous and continuous outcomes, respectively, using the Bayesian method with random effect model.
resultsWe included 11 studies in the systematic review, nine of these were eligible for the meta-analysis, containing data about 572 patients (279 in the tenodesis, 293 in the tenotomy group). Our analysis concluded that tenodesis is more beneficial considering 12-month elbow flexion strength (WMD: 3.67 kg; p = 0.006), 12-month forearm supination strength (WMD: 0.36 kg; p = 0.012), and 24-month Popeye deformity (OR: 0.19; p < 0.001), whereas tenotomy was associated with decreased 3-month pain scores on VAS (WMD: 0.99; p < 0.001). We did not find significant difference among the other outcomes.
conclusionTenodesis yields better results in terms of biceps function and is non-inferior regarding long-term pain, while tenotomy is associated with earlier pain relief.
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