{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T21:42:02Z","timestamp":1788644522396,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T00:00:00Z","timestamp":1630972800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T00:00:00Z","timestamp":1630972800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T00:00:00Z","timestamp":1630972800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T00:00:00Z","timestamp":1630972800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical outcomes and structural integrity of primary subpectoral biceps tenodesis using an all\u2010suture anchor onlay technique for long head of the biceps (LHB) tendon pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective case series with prospectively collected data of patients who underwent primary, isolated subpectoral biceps tenodesis with a single all\u2010suture anchor onlay fixation between March 2017 and March 2019. Outcomes were recorded at a minimum follow\u2010up of 12 months based on assessments of the American Shoulder and Elbow Surgeons (ASES) score, LHB score, and elbow flexion strength and supination strength measurements. The integrity of the tenodesis construct was evaluated using ultrasound.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010four patients were available for clinical and ultrasound examination at a mean follow\u2010up of 18 \u00b1 5 months. The mean ASES score significantly improved from 51.0 \u00b1 14.2 points preoperatively to 89.8 \u00b1 10.5 points postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The minimal clinically important difference for the ASES score was 8.7 points, which was exceeded by 31 patients (91.2%). The mean postoperative LHB score was 92.2 \u00b1 8.3 points. Regarding subcategories, an average of 47.2 \u00b1 6.3 points was reached for \u201cpain\/cramps\u201d; 26.4 \u00b1 6.1 points, \u201ccosmesis\u201d; and 18.6 \u00b1 2.6 points, \u201celbow flexion strength.\u201d Both elbow flexion strength and supination strength were similar compared with the nonoperated side (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .169 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .210, respectively). In 32 patients, ultrasound examination showed an intact tenodesis construct, whereas 2 patients (5.9%) sustained failure of the all\u2010suture anchor fixation requiring revision.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Primary subpectoral biceps tenodesis using an all\u2010suture anchor onlay technique for pathology of the LHB tendon provides reliable clinical results and a relatively low failure rate (5.9%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.08.033","type":"journal-article","created":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T12:58:58Z","timestamp":1631105938000},"page":"729-734","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Reliable Clinical and Sonographic Outcomes of Subpectoral Biceps Tenodesis Using an All\u2010Suture Anchor Onlay Technique"],"prefix":"10.1002","volume":"38","author":[{"given":"Hannes","family":"Degenhardt","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Pogorzelski","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Technical University of Munich Munich 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