Effect of biceps tenodesis on speed of recovery after arthroscopic rotator cuff repair

Dragomir Mijic, DO; Jennifer Kurowicki, MD; Derek Berglund, MD; Samuel Rosas, MD; Emmanuel McNeely, MS, MHA; Matthew Motisi, DO; Teja Polisetty, BS; Jonathan C. Levy, MD

JSES International (Jun 2020)

Effect of biceps tenodesis on speed of recovery after arthroscopic rotator cuff repair

Dragomir Mijic, DO,
Jennifer Kurowicki, MD,
Derek Berglund, MD,
Samuel Rosas, MD,
Emmanuel McNeely, MS, MHA,
Matthew Motisi, DO,
Teja Polisetty, BS,
Jonathan C. Levy, MD

Affiliations

Dragomir Mijic, DO: Department of Orthopedics, Holy Cross Orthopedic Research Institute, Fort Lauderdale, FL, USA
Jennifer Kurowicki, MD: Department of Orthopaedic Surgery, Seton Hall University, Nutley, NH, USA
Derek Berglund, MD: Department of General Surgery, Geisinger Medical Center, Danville, PA, USA
Samuel Rosas, MD: Department of Orthopaedic Surgery Research, Wake Forest School of Medicine, Winston-Salem, NC, USA
Emmanuel McNeely, MS, MHA: Medical School, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA
Matthew Motisi, DO: Department of Orthopedics, Broward Health Medical Center, Fort Lauderdale, FL, USA
Teja Polisetty, BS: Department of Orthopedics, Holy Cross Orthopedic Research Institute, Fort Lauderdale, FL, USA
Jonathan C. Levy, MD: Department of Orthopedics, Holy Cross Orthopedic Research Institute, Fort Lauderdale, FL, USA; Corresponding author: Jonathan C. Levy, MD, Department of Orthopedics, Holy Cross Orthopedic Institute, Shoulder & Elbow Surgery, 5597 N. Dixie Highway, Fort Lauderdale, FL 33334, USA.

Journal volume & issue: Vol. 4, no. 2
pp. 341 – 346

Abstract

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Background: Concomitant biceps tendon pathology is often present in patients undergoing rotator cuff repair (RCR). Management of biceps pathology has been reported to influence outcomes of RCR; however, the impact on the pace of recovery remains unclear. The purpose of this study was to analyze the effects of simultaneous RCR with biceps tenodesis (RCR-BT) on time to achieve maximum improvement and recovery speed for pain and function. Methods: A retrospective review of 535 patients who underwent primary RCR for full-thickness tears. Patients treated with simultaneous RCR-BT were compared with RCR-only. Outcome measures and motion were recorded at preoperative routine postoperative intervals. Plateau in maximal improvement and recovery speed were analyzed for both pain and functional recovery. Results: Baseline American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) function was significantly lower for the RCR-BT cohort (20.5) compared with RCR-only (23.9; P = .008). For visual analog scale (VAS) pain and measured motion, the plateau in maximal improvement occurred at 6 months for RCR-BT compared with 12 months for the RCR-only group. The remainder of the patient-reported outcome measures took 12 months to achieve a plateau in maximal improvement. At 3 months, 79% of improvement in pain and 42%-49% of functional improvement was achieved in the RCR-BT cohort. Similarly, at 3 months, the RCR-only cohort achieved 73% of pain improvement and 36%-57% of functional improvement at 3 months. Conclusion: Patients requiring RCR with simultaneous biceps tenodesis have lower baseline ASES function and earlier postoperative plateaus in pain relief and motion improvement following surgery. Nonetheless, the speed of recovery was not influenced by the biceps tenodesis.

Published in JSES International

ISSN: 2666-6383 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the musculoskeletal system
Website: https://www.journals.elsevier.com/jses-international

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