Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery

Chen, Yang; Chen, Qiaojie; Shen, Pingping; Zhang, Bo; Zheng, Chunli

doi:10.52312/jdrs.2022.796

Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery

Qiaojie CHEN, (Ningbo No. 2 Hospital, Department of Orthopedics, Zhejiang, China)

Pingping SHEN, (Yinzhou Ningbo No. 2 Hospital, Department of Gastroenterology, Zhejiang, China)

Bo ZHANG, (Ningbo No. 2 Hospital, Department of Orthopedics, Zhejiang, China)

Yang CHEN, (Ningbo No. 2 Hospital, Department of Orthopedics, Zhejiang, China)

Chunli ZHENG (Ningbo No. 2 Hospital, Department of TCM Rehabilitation, Zhejiang, China)

Joint diseases and related surgery

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Yıl: 2023 Cilt: 34 Sayı: 1 Sayfa Aralığı: 24 - 31 Metin Dili: İngilizce DOI: 10.52312/jdrs.2022.796 İndeks Tarihi: 07-05-2023

Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery

Öz:

Objectives: This study aims to evaluate the therapeutic effects of tenotomy and tenodesis of the long head of the biceps brachii tendon (LHBT) under shoulder arthroscopy based on the concept of enhanced recovery after surgery (ERAS) on long head of the biceps (LHB) tendinitis. Patients and methods: Between January 2019 and January 2021, a total of 80 LHB tendinitis patients (44 males, 36 females; mean age: 55.3±4.5 years; range, 45 to 72 years) were included. The patients were randomly divided into the group of tenotomy of LHBT under shoulder arthroscopy (tenotomy group, n=40) and group of tenodesis of LHBT under shoulder arthroscopy (tenodesis group, n=40). Tenotomy group was randomly subdivided into Tenotomy-1 and Tenotomy-2 groups including 20 patients in each group to receive conventional treatment and treatment plan guided by ERAS concept, respectively. Similarly, the tenodesis group was randomly subdivided into Tenodesis-1 and Tenodesis-2 groups including 20 patients in each group. Their postoperative shoulder joint functions and pain were compared. Results: The Visual Analog Scale score showed a significant difference between Tenotomy-1 group and Tenodesis-1 group at one, three, and six months after surgery (p<0.05). However, there was no significant difference at nine months after surgery (p>0.05). In the tenotomy group, although the operation time was shorter, the patients were more prone to develop Popeye deformity after surgery. The American Shoulder and Elbow Surgeon score, Western Ontario Rotator Cuff Index, Constant-Murley shoulder score had no significant differences between the tenotomy and tenodesis groups; however, there was a significant difference between the conventional treatment group (Tenotomy-1 group and Tenodesis-1 group) and ERAS treatment group (Tenotomy-2 group and Tenodesis-2 group) (p<0.05). Conclusion: The clinical efficacy is similar between tenotomy and tenodesis of LHBT under shoulder arthroscopy. While selecting surgical approaches, comprehensive assessment should be performed based on all conditions of patients. Besides, therapeutic schedules should be upgraded and optimized with the help of the ERAS concept after admission to minimize the pain of patients, reduce the potential risk of surgery, and help patients recover quickly.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Chen Q, Shen P, Zhang B, Chen Y, Zheng C (2023). Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery. , 24 - 31. 10.52312/jdrs.2022.796
Chicago	Chen Qiaojie,Shen Pingping,Zhang Bo,Chen Yang,Zheng Chunli Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery. (2023): 24 - 31. 10.52312/jdrs.2022.796
MLA	Chen Qiaojie,Shen Pingping,Zhang Bo,Chen Yang,Zheng Chunli Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery. , 2023, ss.24 - 31. 10.52312/jdrs.2022.796
AMA	Chen Q,Shen P,Zhang B,Chen Y,Zheng C Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery. . 2023; 24 - 31. 10.52312/jdrs.2022.796
Vancouver	Chen Q,Shen P,Zhang B,Chen Y,Zheng C Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery. . 2023; 24 - 31. 10.52312/jdrs.2022.796
IEEE	Chen Q,Shen P,Zhang B,Chen Y,Zheng C "Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery." , ss.24 - 31, 2023. 10.52312/jdrs.2022.796
ISNAD	Chen, Qiaojie vd. "Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery". (2023), 24-31. https://doi.org/10.52312/jdrs.2022.796

APA	Chen Q, Shen P, Zhang B, Chen Y, Zheng C (2023). Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery. Joint diseases and related surgery, 34(1), 24 - 31. 10.52312/jdrs.2022.796
Chicago	Chen Qiaojie,Shen Pingping,Zhang Bo,Chen Yang,Zheng Chunli Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery. Joint diseases and related surgery 34, no.1 (2023): 24 - 31. 10.52312/jdrs.2022.796
MLA	Chen Qiaojie,Shen Pingping,Zhang Bo,Chen Yang,Zheng Chunli Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery. Joint diseases and related surgery, vol.34, no.1, 2023, ss.24 - 31. 10.52312/jdrs.2022.796
AMA	Chen Q,Shen P,Zhang B,Chen Y,Zheng C Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery. Joint diseases and related surgery. 2023; 34(1): 24 - 31. 10.52312/jdrs.2022.796
Vancouver	Chen Q,Shen P,Zhang B,Chen Y,Zheng C Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery. Joint diseases and related surgery. 2023; 34(1): 24 - 31. 10.52312/jdrs.2022.796
IEEE	Chen Q,Shen P,Zhang B,Chen Y,Zheng C "Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery." Joint diseases and related surgery, 34, ss.24 - 31, 2023. 10.52312/jdrs.2022.796
ISNAD	Chen, Qiaojie vd. "Treatment outcomes of tendinitis of long head of the biceps brachii tendon by different surgeries based on the concept of enhanced recovery after surgery". Joint diseases and related surgery 34/1 (2023), 24-31. https://doi.org/10.52312/jdrs.2022.796