{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T21:13:19Z","timestamp":1773609199154,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T00:00:00Z","timestamp":1568764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the clinical and radiological outcomes of patients who underwent rotator cuff repair (RCR) concomitant with long head of the biceps tendon (LHBT) tenotomy or subpectoral mini\u2010open tenodesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospectively collected data was reviewed on 154 patients, who underwent a LHBT procedure (tenotomy or tenodesis) concomitant with RCR between January 2010 and January 2017. The exclusion criteria were irreparable massive rotator cuff tear, rotator cuff partial tear, subscapular tendon tear, glenohumeral arthritis, and prior shoulder surgery. The two patient groups are as follows: RCR\u2009+\u2009Tenotomy (Group A) and RCR\u2009+\u2009Subpectoral mini\u2010open tenodesis (Group B). The visual analog scale (VAS) for pain, Constant Score scale, American Shoulder and Elbow Surgeons (ASES) scores, and the Disabilities of the Arm, Shoulder and Hand (DASH) scores preoperatively and 1\u2009month, 3\u2009months, 6\u2009months, 1\u2009year postoperatively and the latest out\u2010patient clinic were compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010two patients in Group A and 62 patients in Group B completed the follow\u2010up, with a median follow\u2010up time of 27 and 42\u2009months respectively. At the final follow\u2010up, the VAS, Constant, ASES, and DASH scores in Group A were 0.1\u2009\u00b1\u20090.2, 87.0\u2009\u00b1\u200912.8, 96.4\u2009\u00b1\u20094.3 and 6.6\u2009\u00b1\u20094.8 respectively, and the VAS, Constant, ASES, and DASH scores in Group B were 0.1\u2009\u00b1\u20090.3, 92.5\u2009\u00b1\u20093.9, 96.3\u2009\u00b1\u20093.6 and 2.9\u2009\u00b1\u20091.3 respectively. Clinical evaluation scales showed satisfactory results in both groups, and there were no statistically significant differences between the two groups at the same follow\u2010up time. Popeye sign was detected in one case of Group A (1.1%) and in one case of Group B (1.6%, <jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both tenotomy and subpectoral mini\u2010open tenodesis are effective for concomitant lesions of the LHBT in patients with reparable rotator cuff tears, and subpectoral mini\u2010open tenodesis of the LHBT does not provide any significant clinical or functional improvement than isolated tenotomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12536","type":"journal-article","created":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T16:43:12Z","timestamp":1568824992000},"page":"857-863","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Lesions of the Long Head of the Biceps Tendon Concomitant with Rotator Cuff Tears: Tenotomy or Subpectoral Mini\u2010open Tenodesis? A Comparative Short to Mid\u2010term Follow\u2010up Study"],"prefix":"10.1111","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2756-2826","authenticated-orcid":false,"given":"Jing\u2010hua","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital, School of Medicine, Zhejiang University  Hangzhou China"},{"name":"Orthopaedics Research Institute, Zhejiang University  Hangzhou China"},{"name":"Department of Orthopaedic Surgery Hangzhou Mingzhou Hospital  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue\u2010song","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital, School of Medicine, Zhejiang University  Hangzhou China"},{"name":"Orthopaedics Research Institute, Zhejiang University  Hangzhou 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