Long Head of Biceps Tendon Management: a Survey of the American Shoulder and Elbow Surgeons. Academic Article uri icon

Overview

abstract

  • BACKGROUND: Management of symptomatic long head of biceps tendon (LHBT) pathology remains a source of debate. QUESTIONS/PURPOSES: The purpose of this study was to identify consensus trends for the treatment of LHBT pathology among specialists. METHODS: A survey was distributed to members of the American Shoulder and Elbow Society (ASES), consisting of three sections-demographics, case scenarios, and general LHBT pathology management. Cases presented common clinical scenarios, and surgeons reported their management preferences. Consensus responses were defined as > 50% of participants giving a single response. RESULTS: One hundred and forty-two of 417 (34%) surgeons completed surveys. Forty-seven percent of questions reached a consensus answer. Biceps tenodesis was the overwhelmingly preferred technique in cases demonstrating LHBT pathology, as compared to tenotomy. No consensus, however, was reached regarding a specific surgical technique for biceps tenodesis. The two most popular techniques were arthroscopic tenodesis to bone and open subpectoral biceps tenodesis. Fellowship-trained arthroscopic surgeons and surgeons with a largely arthroscopic practice were more likely to perform tenodesis arthroscopically. CONCLUSION: ASES members favored biceps tenodesis over tenotomy for surgical management of LHBT pathology, without consensus regarding a specific surgical technique.

publication date

  • October 13, 2017

Identity

PubMed Central ID

  • PMC5786587

Scopus Document Identifier

  • 85031407395

Digital Object Identifier (DOI)

  • 10.1007/s11420-017-9575-3

PubMed ID

  • 29398992

Additional Document Info

volume

  • 14

issue

  • 1