The Journal of Bone and Joint Surgery, Vol 71, Issue 3 376-381, Copyright © 1989 by Journal of Bone and Joint Surgery, Inc
Tenodesis of the long head of the biceps brachii for chronic bicipital tendinitis. Long-term results
DA Becker and RH Cofield
Department of Orthopedics, Mayo Clinic, Rochester, Minnesota 55905.
Fifty-four shoulders in fifty-one patients were followed for an average of
thirteen years (range, two to twenty-three years) after surgical tenodesis
of the long head of the biceps brachii for the treatment of chronic
tendinitis. At an average of six months postoperatively, in all but three
shoulders (forty-eight patients) some benefit was evident. However, after a
longer follow-up, a satisfactory result was achieved in only twenty-eight
shoulders (approximately 50 per cent). About one-third of the shoulders
continued to be pain-free, and in eight shoulders (15 per cent) an
additional operation was performed. Tenodesis of the long head of the
biceps tendon, therefore, was not an effective treatment for tendinitis
over the long term.