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June 29, 2021
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Maximal outcome improvement may predict patient satisfaction after biceps tenodesis

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A maximal outcome improvement of 43.1%, 62.1% and 61.4% for the American Shoulder and Elbow Surgeons, single assessment numeric evaluation and Constant-Murley questionnaires, respectively, may predict satisfaction after biceps tenodesis.

According to published results, researchers retrospectively analyzed prospectively collected data on 123 patients who underwent isolated biceps tenodesis without concomitant rotator cuff repair from 2014 to 2017 with at least 6 months of follow-up.

“The goal of this study was to determine the threshold for achieving maximal outcome improvement (MOI) on the American Shoulder and Elbow Surgeons (ASES), single assessment numeric evaluation (SANE), and Constant-Murley (CM) questionnaires that predict satisfaction after isolated biceps tenodesis,” the researchers wrote in the study.

After performing receiver operating characteristic curve analysis, researchers found a MOI of 43.1%, 62.1% and 61.4% as the threshold for satisfaction after biceps tenodesis for the ASES, SANE and CM questionnaires, respectively.

Regression analysis results also showed concomitant superior labrum anterior-posterior repair was positively predictive of achieving MOI on the ASES and SANE questionnaires and partial rotator cuff tear was positively predictive of achieving MOI on the CM questionnaire. Workers’ compensation, diabetes, history of ipsilateral shoulder surgery and hypertension were all negative predictors, the researchers added.