Patients older than 55 years prefer biceps tenodesis over tenotomy to the same degree as young patients

Chih Kai Hong, Chih Hsun Chang, Kai Lan Hsu, Fa Chuan Kuan, Ping Hui Wang, Wei Ren Su

Research output: Contribution to journalArticle

Abstract

Background: 55 years of age used to be the cutoff point when deciding between biceps tenotomy and tenodesis for treating biceps tendon pathologies. Methods: Patients aged ≥18 years who had tendonitis in the long head of the biceps and were admitted for arthroscopic surgery were included. A questionnaire with a series of questions assessing patients' current symptoms, their concerns about their outcomes, and personal demographic information was introduced to the participants on the day before the surgery. The patients' preference toward tenotomy and tenodesis was assessed, and χ2 tests and logistic regressions were used to test the association with the categorical and ordinal variables, respectively. Results: A total of 135 patients enrolled in the study, with 83 males and 52 females, the mean age of which was 56 years (range, 18–75 years). Of all patients, 86 (63.7%) preferred biceps tenodesis as opposed to tenotomy; meanwhile, there was no difference in preference toward tenodesis in each age- and gender-subgroup (range, 55.1% to 71.4%). The different subgroups had specific factors that were predictive of choosing either a tenotomy or tenodesis. In most subgroups, concerns about postoperative arm appearance and the so-called “Popeye” deformity due to tenotomy were factors predictive of choosing biceps tenodesis, whereas concern about longer rehabilitation due to tenodesis was the factor predictive of choosing biceps tenotomy. Conclusions: Biceps tenodesis is a more preferable choice for patients with biceps tendinopathies in all age and gender subgroups. Patients' concerns on postoperative arm appearance, “Popeye” deformity due to tenotomy, and longer rehabilitation due to tenodesis are the most important predictive factors.

Original languageEnglish
JournalJournal of Orthopaedic Science
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Tenodesis
Tenotomy
Tendinopathy
Rehabilitation
Patient Preference
Arthroscopy
Ambulatory Surgical Procedures
Tendons
Logistic Models
Demography
Pathology

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

@article{3390ec68478d409390f8e2839d03edb4,
title = "Patients older than 55 years prefer biceps tenodesis over tenotomy to the same degree as young patients",
abstract = "Background: 55 years of age used to be the cutoff point when deciding between biceps tenotomy and tenodesis for treating biceps tendon pathologies. Methods: Patients aged ≥18 years who had tendonitis in the long head of the biceps and were admitted for arthroscopic surgery were included. A questionnaire with a series of questions assessing patients' current symptoms, their concerns about their outcomes, and personal demographic information was introduced to the participants on the day before the surgery. The patients' preference toward tenotomy and tenodesis was assessed, and χ2 tests and logistic regressions were used to test the association with the categorical and ordinal variables, respectively. Results: A total of 135 patients enrolled in the study, with 83 males and 52 females, the mean age of which was 56 years (range, 18–75 years). Of all patients, 86 (63.7{\%}) preferred biceps tenodesis as opposed to tenotomy; meanwhile, there was no difference in preference toward tenodesis in each age- and gender-subgroup (range, 55.1{\%} to 71.4{\%}). The different subgroups had specific factors that were predictive of choosing either a tenotomy or tenodesis. In most subgroups, concerns about postoperative arm appearance and the so-called “Popeye” deformity due to tenotomy were factors predictive of choosing biceps tenodesis, whereas concern about longer rehabilitation due to tenodesis was the factor predictive of choosing biceps tenotomy. Conclusions: Biceps tenodesis is a more preferable choice for patients with biceps tendinopathies in all age and gender subgroups. Patients' concerns on postoperative arm appearance, “Popeye” deformity due to tenotomy, and longer rehabilitation due to tenodesis are the most important predictive factors.",
author = "Hong, {Chih Kai} and Chang, {Chih Hsun} and Hsu, {Kai Lan} and Kuan, {Fa Chuan} and Wang, {Ping Hui} and Su, {Wei Ren}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.jos.2019.05.007",
language = "English",
journal = "Journal of Orthopaedic Science",
issn = "0949-2658",
publisher = "Springer Japan",

}

Patients older than 55 years prefer biceps tenodesis over tenotomy to the same degree as young patients. / Hong, Chih Kai; Chang, Chih Hsun; Hsu, Kai Lan; Kuan, Fa Chuan; Wang, Ping Hui; Su, Wei Ren.

In: Journal of Orthopaedic Science, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Patients older than 55 years prefer biceps tenodesis over tenotomy to the same degree as young patients

AU - Hong, Chih Kai

AU - Chang, Chih Hsun

AU - Hsu, Kai Lan

AU - Kuan, Fa Chuan

AU - Wang, Ping Hui

AU - Su, Wei Ren

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: 55 years of age used to be the cutoff point when deciding between biceps tenotomy and tenodesis for treating biceps tendon pathologies. Methods: Patients aged ≥18 years who had tendonitis in the long head of the biceps and were admitted for arthroscopic surgery were included. A questionnaire with a series of questions assessing patients' current symptoms, their concerns about their outcomes, and personal demographic information was introduced to the participants on the day before the surgery. The patients' preference toward tenotomy and tenodesis was assessed, and χ2 tests and logistic regressions were used to test the association with the categorical and ordinal variables, respectively. Results: A total of 135 patients enrolled in the study, with 83 males and 52 females, the mean age of which was 56 years (range, 18–75 years). Of all patients, 86 (63.7%) preferred biceps tenodesis as opposed to tenotomy; meanwhile, there was no difference in preference toward tenodesis in each age- and gender-subgroup (range, 55.1% to 71.4%). The different subgroups had specific factors that were predictive of choosing either a tenotomy or tenodesis. In most subgroups, concerns about postoperative arm appearance and the so-called “Popeye” deformity due to tenotomy were factors predictive of choosing biceps tenodesis, whereas concern about longer rehabilitation due to tenodesis was the factor predictive of choosing biceps tenotomy. Conclusions: Biceps tenodesis is a more preferable choice for patients with biceps tendinopathies in all age and gender subgroups. Patients' concerns on postoperative arm appearance, “Popeye” deformity due to tenotomy, and longer rehabilitation due to tenodesis are the most important predictive factors.

AB - Background: 55 years of age used to be the cutoff point when deciding between biceps tenotomy and tenodesis for treating biceps tendon pathologies. Methods: Patients aged ≥18 years who had tendonitis in the long head of the biceps and were admitted for arthroscopic surgery were included. A questionnaire with a series of questions assessing patients' current symptoms, their concerns about their outcomes, and personal demographic information was introduced to the participants on the day before the surgery. The patients' preference toward tenotomy and tenodesis was assessed, and χ2 tests and logistic regressions were used to test the association with the categorical and ordinal variables, respectively. Results: A total of 135 patients enrolled in the study, with 83 males and 52 females, the mean age of which was 56 years (range, 18–75 years). Of all patients, 86 (63.7%) preferred biceps tenodesis as opposed to tenotomy; meanwhile, there was no difference in preference toward tenodesis in each age- and gender-subgroup (range, 55.1% to 71.4%). The different subgroups had specific factors that were predictive of choosing either a tenotomy or tenodesis. In most subgroups, concerns about postoperative arm appearance and the so-called “Popeye” deformity due to tenotomy were factors predictive of choosing biceps tenodesis, whereas concern about longer rehabilitation due to tenodesis was the factor predictive of choosing biceps tenotomy. Conclusions: Biceps tenodesis is a more preferable choice for patients with biceps tendinopathies in all age and gender subgroups. Patients' concerns on postoperative arm appearance, “Popeye” deformity due to tenotomy, and longer rehabilitation due to tenodesis are the most important predictive factors.

UR - http://www.scopus.com/inward/record.url?scp=85066333125&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85066333125&partnerID=8YFLogxK

U2 - 10.1016/j.jos.2019.05.007

DO - 10.1016/j.jos.2019.05.007

M3 - Article

AN - SCOPUS:85066333125

JO - Journal of Orthopaedic Science

JF - Journal of Orthopaedic Science

SN - 0949-2658

ER -