{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T12:47:11Z","timestamp":1785847631715,"version":"3.56.0"},"reference-count":16,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"unspecified","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Vivalto Sant\u00e9","award":["2024-43-CGA"],"award-info":[{"award-number":["2024-43-CGA"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,7,16]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pathology of the long head of the biceps tendon (LHBT) is commonly treated with either tenotomy or tenodesis, which provide comparable clinical outcomes but have distinct disadvantages. A novel self-locking biceps tenodesis aims to combine the benefits of both techniques. Comparative evidence in patients without full-thickness rotator cuff tears is limited. This study aims to compare the clinical outcomes and complications of self-locking biceps tenodesis and biceps tenodesis with 360\u00b0 suture anchor in patients without full-thickness rotator cuff tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This single-centre, double-blinded non-inferiority randomised controlled trial will include 98 patients aged\u226540 years with symptomatic LHBT pathology in the absence of full-thickness rotator cuff tears. Participants will be recruited between January 2025 and January 2030 and randomly allocated to self-locking biceps tenodesis or biceps tenodesis with 360\u00b0 suture anchor. The primary outcome is the Constant score at 1 year postoperatively, with a predefined non-inferiority margin of 10 points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>\n                      This study received approval from the French Committee of Person Protection North-West II (national registration number 2024-A02217-40). Furthermore, the trial is registered at ClinicalTrials.gov (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT06772103\">NCT06772103<\/jats:ext-link>\n                      ). Results will be disseminated through publication in peer-reviewed journals and presentation at scientific conferences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT06772103\">NCT06772103<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2026-120296","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:56:45Z","timestamp":1785844605000},"page":"e120296","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Biceps tenodesis with 360\u00b0 suture anchor versus self-locking tenodesis in the absence of full-thickness rotator cuff tears: protocol for a non-inferiority randomised controlled trial (BLAST-2)"],"prefix":"10.1136","volume":"16","clinical-trial-number":[{"clinical-trial-number":"nct06772103","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct06772103","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct06772103","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct06772103","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8986-7767","authenticated-orcid":false,"given":"Dries","family":"Boulidam","sequence":"first","affiliation":[{"name":"Alps Surgery Institute, Clinique Generale d\u2019Annecy SAS, Annecy, France"},{"name":"Vrije Universiteit Amsterdam Faculteit der Gedrags- en Bewegingswetenschappen, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3192-887X","authenticated-orcid":false,"given":"Igor Jurievich","family":"Shirinskiy","sequence":"additional","affiliation":[{"name":"Alps Surgery Institute, Clinique Generale d\u2019Annecy SAS, Annecy, France"},{"name":"Vrije Universiteit Amsterdam Faculteit der Gedrags- en Bewegingswetenschappen, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7513-7437","authenticated-orcid":false,"given":"Arno Alexander","family":"Macken","sequence":"additional","affiliation":[{"name":"Alps Surgery Institute, Clinique Generale d\u2019Annecy SAS, Annecy, France"},{"name":"Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5146-6148","authenticated-orcid":false,"given":"M P.J","family":"Van Den Bekerom","sequence":"additional","affiliation":[{"name":"Vrije Universiteit Amsterdam Faculteit der Gedrags- en Bewegingswetenschappen, Amsterdam, The Netherlands"},{"name":"Orthopaedic Surgery, OLVG, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thibault","family":"Lafosse","sequence":"additional","affiliation":[{"name":"Alps Surgery Institute, Clinique Generale d\u2019Annecy SAS, Annecy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geert Alexander","family":"Buijze","sequence":"additional","affiliation":[{"name":"Alps Surgery Institute, Clinique Generale d\u2019Annecy SAS, Annecy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"2026080404552588000_16.8.e120296.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-023-06346-5","article-title":"The long head of biceps at the shoulder: a scoping review","volume":"24","author":"Diplock","year":"2023","journal-title":"BMC Musculoskelet 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