{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:59:28Z","timestamp":1773572368422,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T00:00:00Z","timestamp":1504656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T00:00:00Z","timestamp":1504656000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T00:00:00Z","timestamp":1504656000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate if patients younger than 50\u00a0years old had improved functional outcomes after subpectoral biceps tenodesis (BT) for the treatment of biceps reflection pulley (BRP) lesions at minimum 2\u2010year postoperative follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who had arthroscopically confirmed BRP tears that were treated with subpectoral BT and were at least 2\u00a0years out from surgery were included; patients were excluded if they had concomitant reconstructive or reparative procedures at index surgery. Patient\u2010centered outcomes including return to activity, American Shoulder and Elbow Surgeons (ASES), Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), and Short Form\u201012 Physical Component Summary (SF\u201012 PCS) scores, and patient satisfaction were collected. The pre\u2010 and postoperative scores were compared with a Wilcoxon test. Failure was defined as revision BT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Between January 2006 and July 2014, of 1,184 patients who underwent open subpectoral BT, 14 patients (6 male, 8 female) with mean age 37 (range, 16\u201049\u00a0years) met the inclusion criteria. Minimum 2\u2010year outcomes data were available for all 14 patients (100% follow\u2010up). The mean follow\u2010up was 3.6 \u00b1 1.3\u00a0years. There were significant improvements postoperatively for all outcome scores (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .017 ASES,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002 QuickDASH,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .003 SF\u201012 PCS). There was no correlation between age and outcome scores (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05). Median patient satisfaction was 9 of 10. Five patients (36%) reported return to recreational activity with no modifications; 9 (64%) indicated a return to activity with modifications. The 5 patients who returned to recreational activity with no modification had significantly less time from initial injury\/onset of symptoms until surgery in comparison with the 9 patients who modified their activity (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.028). No complications or reoperations were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients younger than 50\u00a0years old with a symptomatic isolated BRP lesion experienced excellent results, high return to recreational activity, little postoperative pain, and high degrees of satisfaction when treated with subpectoral BT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2017.04.021","type":"journal-article","created":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T21:06:38Z","timestamp":1504731998000},"page":"1788-1794","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":26,"title":["Isolated Biceps Reflection Pulley Tears Treated With Subpectoral Biceps Tenodesis: Minimum 2\u2010Year Outcomes"],"prefix":"10.1002","volume":"33","author":[{"given":"Alexander R.","family":"Vap","sequence":"first","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"Steadman Clinic Vail Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Christoph","family":"Katthagen","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitri S.","family":"Tahal","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilee P.","family":"Horan","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik M.","family":"Fritz","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas","family":"Pogorzelski","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Millett","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"Steadman Clinic Vail Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,6]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971030-00011"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.10.014"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.01.022"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510393942"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.10.004"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(09)80020-7"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505278698"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509355142"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(96)80029-2"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2000.109322"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2003.09.013"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514560155"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2003.50023"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.21239"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(90)90056-J"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-9-121"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(04)00652-8"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.08.025"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.11.022"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.02.006"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00488"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.10.011"},{"key":"e_1_2_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514563911"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.10.016"},{"key":"e_1_2_2_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508318192"},{"key":"e_1_2_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.07.013"},{"key":"e_1_2_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.06.004"},{"key":"e_1_2_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.04.008"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806317303936?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806317303936?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2017.04.021","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2017.04.021","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2017.04.021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:27:41Z","timestamp":1773566861000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2017.04.021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,6]]},"references-count":28,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1016\/j.arthro.2017.04.021"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2017.04.021","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This 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