ArticleThe Iowa orthopaedic journal2025
Long Head of Biceps Tendinopathy: A Scoping Review of Classifications and Proposed Novel Classification System.
Article in The Iowa orthopaedic journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: While authors have subclassified long head of biceps tendon (LHBT) lesions in numerous ways, there is no classification system based solely on the arthroscopic appearance of the LHBT. We present a scoping review of the existing classification systems for LHBT tendinopathy and propose a novel classification based on its intraoperative, arthroscopic appearance. Methods: We conducted a comprehensive search of classification systems for LHBT pathology using EMBASE and Ovid-Medline platforms. Our proposed classification system consists of four types based on intraoperative arthroscopic appearance of the LHBT: normal (A), erythema without fraying (B), fraying (C), and labral anchor instability (D). Fourteen arthroscopic videos and thirteen photos were reviewed by three orthopaedic sports medicine surgeons and two orthopaedic sports medicine fellows. Intra-and inter-observer reliability were assessed using Krippendorff's Alpha (α). Results: Seventeen full length articles were included in our review, including classification systems based on visual characteristics, advanced imaging, and histology. For our proposed classification, there was excellent inter- and intra-observer reliability between all reviewers (α=0.92). Interobserver reliability when reviewing arthroscopic photos was also excellent (α=0.81). There was excellent agreement for all reviewers between video and photo cases (α=0.81). Conclusion: The current literature lacks a concise classification system for LHBT tendinopathy based on its intraoperative, arthroscopic appearance. Our proposed classification system is intended to offer a simple and reproducible way to describe LHBT tendinopathy based on intraoperative arthroscopic appearance of the tendon. This classification has excellent inter- and intra-observer reliability when reviewing arthroscopic video cases as well as excellent inter-observer reliability when reviewing arthroscopic photos. This serves as a validation of classification for a future planned randomized control trial comparing LHBT tenodesis to benign neglect in the setting of rotator cuff repair.
Indexed as
Identifiers
40606699PMC12212322What OpenQuestion holds
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.