Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Sports Medicine - Shoulder
Abstract number: 25013
SURGICAL TREATMENT OF ROTATOR CUFF TEAR WITH BICEPS TENDON
PATHOLOGY
Chien-Hao CHEN, Chih-Hwa CHEN, Chih-Hsiang CHANG, Chun-I SU, Kun-Chung
WANG, Hsien-Tao LIU, Chung-Ming YU, I-Chun WANG
Chang Gung Memorial Hospital-Keelung, Keelung (TAIWAN)
Biceps long head tendon (BLH) lesion is commonly associated with rotator cuff tears
(RCT). This study is to determine the pathologic spectrum of BLH tendon in surgical
cases with complete full thickness RCT. Treatment protocols for each type were
postulated and clinical outcome was assessed. Methods: 176 complete RCT (1993-
2005) with surgery were included. During rotator cuff surgery, BLH tendon was
examined by arthroscope. 6-types-classification was applied to describe the biceps
lesion. Treatments for biceps tendon pathology included tenodesis, tenotomy,
debridement, and biceps re-fixation, depending on the severity. Results: 58 (33%)
shoulders had type 1 lesion (tendinitis), 19 (11%) shoulders had type 2 lesion
(subluxation), 16 (9%) shoulders had type 3 lesion (dislocation), 29 (16%) shoulders
had type 4 lesion (partial tear), 12 shoulders (7%) had type 5 (complete rupture), and
10 shoulders (6%) had type 6 (SLAP). Remaining 32 shoulders (18%) did not present
obvious pathology. More chronic or extended RCT, subscapularis tendon
involvement, and degeneration-associated tear were strongly associated with an
advanced biceps tendon lesion. 107 shoulders (61%) received associated
procedures for biceps lesion and rotator cuff surgery simultaneously. In a minimal 2
years follow-up in 88 of 107 shoulders, 72 (82%) achieved satisfactory results.
Conclusion: BLH tendon injuries are strongly associated with RCT. Early
identification and repair of rotator cuff lesions may prevent further deterioration of the
biceps tendon lesion. The biceps tendon lesion should be treated surgically along
with rotator cuff repair to achieve better clinical outcome.
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