Popeye sign: Tenodesis vs. self-locking “T” tenotomy of the long head of the biceps - 23/02/18
, F. Baldairon, P. Clavert, J.-F. Kempf
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Abstract |
Introduction |
Treatment of long head of the biceps lesions is controversial. A new technique of self-locking “T” tenotomy was developed in our department in 2013.
Hypothesis |
The main objective of the present study was to assess onset of Popeye sign after “T” tenotomy, with comparison to long head of the biceps tenodesis.
Material and methods |
A continuous retrospective study included 180 patients with long head of the biceps lesion, either isolated or associated with rotator cuff tear.
Results |
130 underwent “T” tenotomy (group A), and 50 tenodesis (group B). Mean age was 57.9 years (range, 23–88 years) in group A and 50.8 years (range, 20–66 years) in group B. At last follow-up, 27.7% of patients in group A and 24% in group B showed Popeye sign (P=0.616), after equivalence test and adjustment on age and occupational activity. Bicipital groove pain was more frequent in the tenodesis group (44% versus 25.4%; P=0.025).
Discussion |
Self-locking “T” tenotomy did not significantly differ from tenodesis in onset of Popeye sign or clinical results, and showed better postoperative course.
Level of evidence |
IV, retrospective study.
Le texte complet de cet article est disponible en PDF.Keywords : Shoulder, Rotator cuff tear, Biceps lesion, Tenotomy, Tenodesis
Plan
Vol 104 - N° 1
P. 23-26 - février 2018 Retour au numéro
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