Biceps Tenodesis Versus Tenotomy in Treatment of Lesions of Long Head of Biceps Brachii in Patients Undergoing Arthroscopic Shoulder Surgery

Objectives:To compare subjective patient-reported outcomes and objective clinical results between biceps tenotomy and tenodesis in patients with lesions of the long head of biceps tendon (LHBT).Methods:The study is a prospective, randomized, controlled trial targeting patients +18 years undergoing arthroscopic shoulder surgery to manage a lesion of the LHBT (+/- rotator cuff repair). Patients were excluded if they had previous surgery on their affected shoulder or any other significant medical comorbidity that could alter the effectiveness of the surgical intervention. Patients were allocated intraoperatively to undergo tenodesis or tenotomy via computer randomization once a LHBT lesion was confirmed. The primary outcome measure was the American Shoulder and Elbow Society standardized assessment of shoulder function (ASES). Secondary outcomes included: Western Ontario Rotator Cuff index (WORC), surgery time, patient reported pain and cramping, presence of a cosmetic deformity, elbow flexion and supination...