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. 2017 Apr 28;52(3):291-297.
doi: 10.1016/j.rboe.2017.04.001. eCollection 2017 May-Jun.

Disorders of the long head of the biceps: tenotomy versus tenodesis

Fabiano Rebouças Ribeiro  1 , André Petry Sandoval Ursolino  1 , Vinicius Ferreira Lima Ramos  1 , Fernando Hovaguim Takesian  1 , Antonio Carlos Tenor Júnior  1 , Miguel Pereira da Costa  1
Affiliations

Disorders of the long head of the biceps: tenotomy versus tenodesis

Fabiano Rebouças Ribeiro et al. Rev Bras Ortop. .

Abstract
in English, Portuguese

Disorders of the long head of biceps tendon are common in clinical practice. Their causes could be degenerative, inflammatory, instability (subluxation or luxation) or traumatic. They are generally associated to other diseases of the shoulder, mainly rotator cuff injuries. Currently, there is controversy in the literature regarding the indications for surgical treatment and the choice of the best technique for each case, due to the possibility of esthetic deformity, loss of muscle strength, and residual pain. The objective of this study was to identify the indications for surgical treatment, the best surgical technique, and the advantages and disadvantages of each technique described in the orthopedic literature for the treatment of long head of biceps tendon injuries. A revision of the orthopedic medical literature on the following databases: Biblioteca Regional de Medicina (BIREME), Medline, PubMed, Cochrane Library and Google Scholar, comprising articles published in the period from 1991 to 2015.

As lesões da cabeça longa do tendão bicipital (CLB) são comuns na prática clínica e podem ter causas degenerativas, inflamatórias, instabilidades (subluxação ou luxação) ou traumáticas. Geralmente, elas estão associadas a outras doenças do ombro, principalmente a lesões do manguito rotador. Atualmente, existem controvérsias quanto às indicações dos tratamentos cirúrgicos e à escolha da melhor técnica para cada caso, devido à possibilidade de deformidade estética, perda da força muscular e dor residual.O objetivo deste estudo foi identificar as indicações do tratamento cirúrgico, a melhor técnica cirúrgica e as vantagens e desvantagens de cada técnica descritas na literatura médica ortopédica no tratamento das lesões da CLB.Foi realizada revisão da literatura médica ortopédica disponível na base de dados da Biblioteca Regional de Medicina (BIREME), Medline, PubMed, Cochrane Library e Google Scholar, incluindo artigos publicados no período de 1991 a 2015.

Keywords: Rotator cuff; Shoulder impingement syndrome; Shoulder pain; Tenodesis; Tenotomy.

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