Long head bicepstendon pathology rotatorcuff surgery
Conditions
Interventions
In addition to arthroscopic rotator cuff repair one group is treated by
performing LHB tenotomy and the other group is treated by performing an LHB
tenodesis.
Sponsors
Onze Lieve Vrouwe Gasthuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients older than 50 years who are indicated to undergo repair of a moderately sized rotator cuff (infraspinatus and/or supraspinatus) tendon rupture (sized smaller than 3cm measured using an arthroscopic ruler), who are encountered with an inflamed, unstable or partially torn LHB tendon. Patients need to be able to read and write in Dutch or English language in order to complete the questionnaires, and sign informed consent.
Exclusion criteria
Exclusion criteria: Patients are excluded form this study in case of an acute, traumatic or partial thickness rotator cuff rupture, or in case a full thickness tear is larger than 3 cm measured using an arthroscopic ruler. Patients are also excluded when the origo of the bicepstendon has an hour-glass aspect or in case of accompanying subscapularis tendon rupture. Pre-operative X-ray of the involved shoulder revealing acromion to humeral head distance measuring 6mm or smaller or osteoarthritis also excludes patients from participation to this study. Any prior surgery to the involved shoulder leads to exclusion from participation in this study. Dementia or inability to complete questionnaires and assessments excludes patients form this study as well.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient evaluation is conducted with a focus on overall shoulder function, as evaluated with the Constant score. In addition, the Dutch Oxford Shoulder Test and the Disabilities of the Arm Shoulder and Hand questionnaire will be assessed. | — |
Secondary
| Measure | Time frame |
|---|---|
| Other evaluations concern: cosmetic appearance evaluated by the **Popeye** deformity, arm cramping pain, elbow flexion strength (measured with a hand dynamometer), and quality of life and cost-utility (evaluated with the EQ-5D). | — |
Countries
Netherlands
Outcome results
None listed