Forearm Position in Subpectoral Biceps Tenodesis

Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization

Status: Completed

Conditions: Biceps Tendon Disorder

Treatments: Procedure: Fixation while forearm in extension-pronation position

Study type: Interventional

Funder types: Other

Identifiers

NCT04650477

Forearm position in tenodesis

Details and patient eligibility

About

The investigators aimed to compare two different forearm positions, extension-pronation (EP) or neutral, for fixation of the long head of the biceps tendon (LHB) in biceps tenodesis.

Full description

Long head of biceps pathologies have been regarded as a source of anterior shoulder pain and disability. Tenodesis is preferable surgical choice for especially young patients to to eliminate anterior shoulder pain. The optimal position of the elbow and forearm during tenodesis is a debated topic. The investigators aimed to evaluate pain and strength loss after biceps tenodesis fixed at extension-pronation (EP) and neutral positions. The investigators aimed to find the most appropriate and anatomical arm position that gives better clinical and functional results.

Enrollment: 50 patients

Sex: All

Ages: 20 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

-Participants with diagnosis of chronic biceps tendinitis

Exclusion criteria

• Participants who had undergone rotator cuff repair surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Fixated in the EP position

Active Comparator group

Description:

Long head of biceps tenodesis was performed for 25 patients whose joints were fixated while forearm in the extension-pronation (EP) position

Treatment:

Procedure: Fixation while forearm in extension-pronation position

Fixated in the neutral position

No Intervention group

Description:

Long head of biceps tenodesis was performed for 25 patients whose joints were fixated while forearm in the neutral position (elbow 90 degrees flexed and hands positioned with the thump pointing up