Treatment of the Biceps With Concomitant Supraspinatus Tears

Conditions

• Supraspinatus Tear

Eligibility Criteria

Sex

ALL

Age

50 Years - 80 Years

Healthy Volunteers

Not accepted

Interventions

• LHB Tenotomy — PROCEDURE
  Will be performed arthroscopically by cutting the LHB at its origin with arthroscopic scissors
• LHB Tenodesis — PROCEDURE
  "ill be performed arthroscopically with a tenodesis at the top of the articular margin using an onlay technique.

Study Details

The long head of the biceps (LHB) tendon is thought to be a common source of shoulder pain and dysfunction in patients with rotator cuff pathology. Tenotomy and tenodesis have been shown to produce favourable and comparable results in treating LHB lesions, but a controversy still exists regarding the treatment of choice. Some suggest that tenotomy should be reserved for older, low-demand patients, while tenodesis should be performed in younger patients and those who engage in heavy labor. Proponents of tenotomy suggest that this is a technically easy procedure that leads to easy rehabilitation and fast return to activity with a low complication and reoperation rate. However, those who support LHB tenodesis list good preservation of elbow flexion and supination strength, improvement of functional scores, elimination of pain, and avoidance of cosmetic deformity as benefits of the procedure. Alternatively, the LHB can be maintained in the joint without tenodesis or tenotomy. In fact, it has not been clearly shown that LHB tenodesis or tenotomy leads to improved outcomes compared to leaving the biceps tendon intact.

Key Dates

Start date

Jun 1, 2021

Status verified

Apr 2025

Primary completion

Jun 1, 2026

Completion

Jun 1, 2026

Study Design

Enrollment

180 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Arms

• No Intervention: Leaving LHB Intact
  The long head of the biceps (LHB) will be left intact.
• Experimental: LHB tenotomy
  The long head of the biceps (LHB) will be cut at its origin.
• Experimental: LHB Tenodesis
  The long head of the biceps (LHB) will be cut at its origin and reattached.

Primary Outcome Measure

ASES score [ Time Frame: At 24 post-operative months ]

Central Contacts

• Alexandre Lädermann, MD
  +41 22 71 975 55
  [email protected]

Locations (2)

Find similar trials in Ann Arbor, MI

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