Abstract
Abstract Background Both tenotomy and tenodesis have been widely used for the treatment of long head of biceps tendon (LHBT) lesions, but the optimal strategy remains considerably controversial. In this meta- analysis of published studies, we compared the results of the two procedures. Methods A literature search that compared tenotomy with tenodesis was performed using pubmed, MEDLINE, cochrane libaray and researchgate . A total of 6 studies reporting data on 659 subjects were included. Study quality was evaluated using Cochrane collaboration tool for assessing the risk of bias. Results Data synthesis showed higher ASES score, constant score, simple shoulder test mean, lower popeye sign and insignificant vas score in patients managed with tenodesis compared to tenotomy (ASES score, P <0.001; constant score, P < 0.001; simple shoulder test mean, P = 0.045, popeye sign, P = 0.010 ; vas score, P = 0.422 respectively). Conclusion The current evidence indicates that biceps tenodesis for LHBT lesions with concomitant reparable rotator cuff tears results in decreased rate of Popeye sign and improved Constant score also ASES score compared to biceps tenotomy.
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