Evidence map›Paper›PMID 39998641›Full record

SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Higher complication rate is associated with suprapectoral biceps tenodesis as compared to subpectoral tenodesis: a systematic review and meta-analysis of comparative studies.

Nitesh Gahlot, Rajesh Kumar Rajnish, Kuldeep Rathore

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Nitesh GahlotAll India Institute of Medical Sciences Jodhpur, Jodhpur, India. doc.nitesh@gmail.com.
Rajesh Kumar RajnishAll India Institute of Medical Sciences Jodhpur, Jodhpur, India.
Kuldeep RathoreAll India Institute of Medical Sciences Jodhpur, Jodhpur, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBiceps tenodesis techniques can be grouped into open or arthroscopic according to surgical approach, and into subpectoral or suprapectoral according to location of fixation. The purpose of this meta-analysis is to critically analyse the current evidence with regard to comparing two methods of biceps tenodesis, viz subpectoral vs supratenodesis.

methodsPrimary electronic search was conducted on MEDLINE (PubMed), Embase, Scopus, and Cochrane Library databases for published literature from year of inception to August 2024. The current review included any prospective or retrospective English studies that evaluated the outcomes of suprapectoral versus subpectoral. Primary outcomes of interest were American shoulder and elbow society (ASES) score, constant score (CS), UCLA score, SST score, VAS, and complications. The secondary outcomes of interest was range of movements.

resultsThirteen studies were included in our quantitative analysis, comprising three RCTs and ten non-randomized comparative studies. ASES score was slightly higher in most of studies in favour of subpectoral tenodesis [95% CI (- 1.35, 0.10); I

conclusionBoth the techniques of biceps tenodesis have shown comparable functional outcomes in most of the trials. On performing meta-analysis, suprapectoral tenodesis was associated with higher rate postoperative complications. Hence, it is advisable to choose subpectoral tenodesis, as and when possible.

Indexed as

Postoperative ComplicationsTenodesisArthroscopyHumansMuscle, SkeletalRange of Motion, ArticularArthroscopicLong head of bicepsOpen tenodesisSubpectoralSuprapectoralTenodesis

Identifiers

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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.