SynthesisJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2022
Onlay Versus Inlay Biceps Tenodesis for Long Head of Biceps Tendinopathy: A Systematic Review and Meta-analysis.
Synthesis in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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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.
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Who cites it
16 citing papers in PubMed, 17 citations in OpenAlex.
- Loop versus anchor tenodesis of the long head of the biceps tendon: a prospective randomized controlled pilot study.Archives of orthopaedic and trauma surgery · 2026Trial
- Suprapectoral Onlay Biceps Tenodesis With Metal Button or Soft-Body Anchor Is Safe and Effective During Total Shoulder Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Arthroscopic biceps tenodesis: Inlay or onlay technique?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- The Gripping Biceps Knot: All-Arthroscopic Self-Cinching Knot for Proximal Biceps Tenodesis.Arthroscopy techniques · 2025Article
- Arthroscopic Suprapectoral Biceps Tenodesis Below the Groove: A Surgical Technique.Arthroscopy techniques · 2025Article
- Implant-free loop tenodesis compared to arthroscopic anchor tenodesis for the treatment of long head of biceps tendon disorders (LOOPTEN trial): study protocol for a multi-center non-inferiority randomized controlled trial.BMC musculoskeletal disorders · 2025Article
- All-Arthroscopic Suprapectoral Biceps Tenodesis With Knotless Unicortical Locking Button Technique.Arthroscopy techniques · 2025Article
- Mini-Open Subpectoral Biceps Tenodesis With an Onlay Knotless TensionTight Locking Button Technique.Arthroscopy techniques · 2025Article
- Arthroscopic Inlay Biceps Tenodesis Using a Tendon-Docking Anchor.Arthroscopy techniques · 2025Article
- Arthroscopic In Situ Biceps Tenodesis Using a Double Loop-and-Tack Knotless Suture Anchor.Arthroscopy techniques · 2025Article
- Article
- All-Suture Anchor Techniques for Biceps Tenodesis Are Noninferior in End-Cycle Stiffness to an Interference Screw Technique; However, Secondary Outcomes, Such as Ultimate Failure Load, Yield Load, Creep, and Load-to-Failure Stiffness, Are Inferior in an Ovine Model.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Arthroscopic Suprapectoral Biceps Tenodesis for Isolated Biceps Tendinopathy: Results From 23 Patients.Cureus · 2024Article
- Arthroscopic Suprapectoral Biceps Tenodesis Using Standard Portals.Arthroscopy techniques · 2023Article
- Outcomes of Biceps Tenodesis Variations With Concomitant Rotator Cuff Repair: A Multicenter Database Analysis.Orthopaedic journal of sports medicine · 2023Article
- Arthroscopic Intra-articular Biceps Tenodesis With All-Suture Anchor.Video journal of sports medicineArticle
Corrections and comments
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Authors and funding
9 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionProximal biceps tenodesis is a common surgical treatment of tendinosis of the long head of the biceps tendon. Two of the most common techniques incorporate onlay and inlay fixation methods, which can be done arthroscopically or open and in a variety of anatomic locations. The purpose of this meta-analysis was to compare the clinical outcomes between onlay versus inlay humeral fixation for biceps tenodesis for long head of the biceps tendon pathology.
methodsA literature search was conducted using PubMed, EMBASE, and Cochrane Library. Only studies reporting outcomes and complications after onlay and inlay biceps tenodeses were included.
resultsSix studies with a total of 418 patients (252 onlay, 166 inlay) with a mean age of 56.84 years were included. Visual analog pain scale scores, Constant score, and American Shoulder and Elbow Surgeons shoulder score did not differ. "Popeye" deformity was found in 17 patients (7.80%) in the onlay group and in 15 patients (11.28%) in the inlay group (odds ratio, 0.28; P = 0.07). No difference in postoperative cramping or failure rates was found.
conclusionBoth onlay and inlay biceps tenodeses result in improved clinical outcomes and are at low risk of Popeye deformities, with no statistically significant differences between either method. Additional studies are required to assess the clinical significance of these differences.
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