JSES Reviews, Reports, and Techniques (Nov 2024)

Long head of biceps tendon management in the setting of massive rotator cuff tears

  • Javier Ardebol, MD, MBA,
  • Kassem Ghayyad, MD,
  • Theresa Pak, DO,
  • Lisa Galasso, MD,
  • Matthew Noble, DO,
  • Ali Īhsan Kiliç, MD, PhD,
  • Diego Gonzalez-Morgado, MD,
  • Mariano E. Menendez, MD,
  • Patrick J. Denard, MD

Journal volume & issue
Vol. 4, no. 4
pp. 662 – 667

Abstract

Read online

Pathology of the long head of the biceps tendon is commonly associated with massive rotator cuff tears (MRCTs), which account for roughly one third of all rotator cuff tears. Treatment options for this condition include tenotomy, tenodesis, augmentation, and the use of the tendon as a graft for partial superior capsule reconstruction. Augmentation and superior capsular reconstruction are evolving techniques in the management of MRCTs. However, similar to the lack of consensus on the treatment of MRCTs, there are no clear guidelines for the management of concurrent biceps tendon pathology.

Keywords