Mini-Open Subpectoral Biceps Tenodesis

Cairo University (CU)

Status: Completed

Conditions: Bicep Tendinitis

Treatments: Procedure: Sub pectoral fixation

Study type: Interventional

Funder types: Other

Identifiers

NCT07014813

RC-1910-2024

Details and patient eligibility

About

Surgical management of long head of biceps (LHB) lesions is frequent, often alongside other shoulder issues. When conservative treatment fails, tenotomy (for low-demand patients) or tenodesis (preferred for active individuals) is performed. Subpectoral tenodesis offers advantages, and this study assesses a novel press-fit bony plug technique for this approach, evaluating its safety and efficacy.

Enrollment: 30 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with Biceps tendon pathologies after failure of conservative measures: biceps tenosynovitis, recurrent subluxation, or SLAP lesions.
• Young and middle-aged individuals (20-60 years old).

Exclusion criteria

• Patients with avascular necrosis or arthritis.
• Extensive bone loss.
• Poor bone density.
• Active infection.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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30 participants in 1 patient group

Candidate Group

Other group

Description:

The Candidate Group Patients were 30 patients: * Seventeen females and Thirteen males with a mean age of 44.4 years (range: 30-60 years). * Eight patients were smokers, and ten suffered from controlled diabetes. * Three patients were suffering from isolated biceps tendinopathy without associated pathology, Nine were suffering from frozen shoulder, Fifteen patients with different degrees of rotator cuff tears, and the last three patients had biceps slap lesions which were irreparable with anchors. * There were 21 dominant and 9 non-dominant shoulders.

Treatment:

Procedure: Sub pectoral fixation