“Tomydesis” might be a reliable technique for lesions of the long head of the biceps tendon associated with rotator cuff tears: a minimum 6-month prospective clinical follow-up study
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To compare the clinical outcomes of self-locking T-tenotomy called “tomydesis” to three different techniques of tenodesis for lesions of the long head of the biceps tendon (LHBT) associated with rotator cuff tears.
Tomydesis could provide similar clinical outcomes than the other LHBT tenodesis techniques.
This prospective multicentre study included 77 patients who underwent rotator cuff repair concomitant with one of four surgical techniques on the LHBT. All patients had a minimum of 6-month follow-up post-operatively. Outcomes were evaluated based on the Constant score, SSV, pain on visual analogue scale, biceps-specific pain and Popeye deformity on photographs.
There was no difference for the pain at the biceps muscle belly (p = 0.58), the bicipital groove (p = 0.69) and during resisted supination (p = 0.53), as well as for muscle cramps (p = 0.09), VAS for pain (p = 0.12) and Popeye deformity (p = 0.18). There was more pain in resisted flexion in the tomydesis group (p = 0.032), and significantly better Constant scores and SSV (< 0.001) in the patients who underwent the double lasso loop technique, but non-repairable cuff tears were most frequent in the tomydesis group.
Tomydesis might be a reliable alternative that combines advantages of tenodesis and tenotomy. It should be considered in cases of rotator cuff tears, whose repair and healing are the key for good functional outcomes.
Level of evidence
KeywordsTomydesis T-tenotomy Biceps tenodesis Biceps tenotomy Long head of biceps Rotator cuff repair
The authors thank Pascal Garaud for statistical analysis and Joanne Archambault for English-language editing.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 6.Friedman JL, FitzPatrick JL, Rylander LS, Bennett C, Vidal AF, McCarty EC (2015) Biceps tenotomy versus tenodesis in active patients younger than 55 years: is there a difference in strength and outcomes? Orthop J Sports Med. https://doi.org/10.1177/2325967115570848 CrossRefPubMedPubMedCentralGoogle Scholar