Arthroscopic Tenotomy for Recalcitrant Tendonitis of the Long Head of Biceps Brachii

  • Sato Takahisa
    Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
  • Ide Junji
    Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
  • Tokiyoshi Akinari
    Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
  • Morita Makoto
    Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
  • Mizuta Hiroshi
    Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan

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  • 難治性上腕二頭筋長頭腱炎に対する鏡視下切腱術

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Abstract

We performed arthroscopic treatment on patients with shoulder pain and dysfunction after at least three months of conservative treatment without progress. We released the long head of the biceps tendon with intraarticular cautery in older patients with significant partial tear (>50%). We evaluated the efficacy of arthroscopic tenotomy in seven patients with recalcitrant tendonitis of the long head of biceps brachii. Patients with rotator cuff repair and/or subacromial decompression were excluded from this study. There were two males and five females. Their mean age was 69 years (range, 51-78 years). Mean follow-up period was 25.0 months (range, 13-33 months). After surgery, the mean JOA score significantly improved from 52.0 points (range, 37-67 points) to 90.0 points (range, 86-91 points). Popeye muscle deformity was noted in only one patient; no muscle weakness of elbow flexion was found. Arthroscopic tenotomy is a safe and reliable procedure in patients with recalcitrant tendonitis or significant partial tear of the long head of biceps brachii.

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