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Biceps tenodesis yielded greater mean satisfaction scores vs biceps tenotomy

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CHICAGO — Patients who underwent biceps tenodesis had a greater mean satisfaction score and experienced fewer negatively perceived postoperative symptoms compared with patients who underwent biceps tenotomy, according to results presented here.

Among patients who underwent biceps tenodesis or tenotomy, Justin Aflatooni, MS, and colleagues found an overall greater mean satisfaction score among patients who underwent tenodesis vs. tenotomy, despite high satisfaction scores in both groups.

“Interestingly, an equal percentage of patients in both groups reported they would have their respective procedure again,” Aflatooni said in his presentation at the Arthroscopy Association of North America Annual Meeting.

Aflatooni noted patients who underwent tenotomy had a 2.5-times higher risk for biceps spams vs. cramping. For negatively perceived postoperative symptoms not specific to the biceps, patients in the tenotomy group were twice as likely to have shoulder pain. Compared to the tenotomy cohort, Aflatooni said almost half as many patients in the tenodesis group had pain in their biceps muscle and none reported more than moderate pain.

“When asked if their biceps limited their daily activity, there was no significant difference between the two groups and for patient-perceived Popeye sign, we interestingly also found no difference between the two groups,” Aflatooni said.

Aflatooni noted significantly more women underwent tenotomy, and patients who underwent tenotomy were significantly older.

“For looking at predictors of satisfaction score, we found age, procedure and the presence of one or more downsides to be significant, with older patients, tenodesis patients and patients with no downsides having higher satisfaction scores,” Aflatooni said. “For predictors of downsides, we only found procedure to be significant, with tenotomy being associated with a higher likelihood of reporting downsides.” – by Casey Tingle

Reference:

Aflatooni J, et al. Paper 61. Presented at: Arthroscopy Association of North America Annual Meeting; April 26-28, 2018; Chicago.

Disclosure: Aflatooni reports no relevant financial disclosures.