Biceps Tendonitis
Conditions
Brief summary
Biceps pathology typically includes pain in the anterior shoulder that is reproduced with provocative maneuvers. However, optimal treatment of patient with this diagnosis is not clear and can include tenotomy (cutting the biceps) or various forms of tenodesis (cutting then reattaching). As tenotomy can lead to cosmetic deformity and anterior humeral discomfort from spasms, many surgeons perform tenodesis. There are various techniques for tenodesis. This study will compare 2 methods: suprapectoral (doing the surgery using an incision higher in the shoulder) versus subpectoral fixation (surgery which involves making an incision lower in the shoulder). Purpose of the study is to prospectively determine whether arthroscopic suprapectoral or open subpectoral biceps tenodesis results in better function.
Interventions
PROCEDURESuprapectoral Biceps tenodesis
PROCEDURESubpectoral biceps tenodesis
Sponsors
Rush University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Scheduled to undergo biceps tenodesis * Pain at intertubercular groove * Anterior Humeral pain * Patient agrees to follow up and consent
Exclusion criteria
* Biceps Tenotomy * Revision biceps procedure * Prior SLAP or labral repair * Concomitant subscapularis repair * More than 1 rotator cuff repair at time of surgery * Concomitant arthroplasty * Prior infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| American Shoulder and Elbow Surgeons (ASES) Shoulder Score | 1 year | Validated outcome score assessing pain and function of shoulder |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Constant Score | 1 year | Validated score to assess shoulder pain and function |
Countries
United States
Outcome results
None listed