Analysis of Suprapectoral and Subpectoral Biceps Tenodesis

Rush

Status: Withdrawn

Conditions: Biceps Tendonitis

Treatments: Procedure: Subpectoral biceps tenodesis; Procedure: Suprapectoral Biceps tenodesis

Study type: Interventional

Funder types: Other

Identifiers

NCT02192073

13081402

Details and patient eligibility

About

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.

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

Suprapectoral Biceps Tenodesis

Active Comparator group

Description:

Suprapectoral Biceps Tenodesis involves detaching the long head of biceps from it's origin and reattaching it to humerus in the superior border of the pectoralis major insertion

Treatment:

Procedure: Suprapectoral Biceps tenodesis

Subpectoral Biceps Tenodesis

Active Comparator group

Description:

Subpectoral Biceps Tenodesis involves detaching the long head of biceps from it's origin and reattaching it to humerus in the inferior border of the pectoralis major insertion

Treatment:

Procedure: Subpectoral biceps tenodesis