{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T14:07:28Z","timestamp":1788444448538,"version":"build-2803163510"},"reference-count":34,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2010,6,15]],"date-time":"2010-06-15T00:00:00Z","timestamp":1276560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2010,8]]},"abstract":"<jats:p>Background: During rotator cuff repair, biceps tendon lesions are frequently encountered. However, there is still controversy about optimal treatment for these lesions.<\/jats:p>\n                  <jats:p>Purpose: To compare the results of tenotomy and suture anchor tenodesis prospectively.<\/jats:p>\n                  <jats:p>Study Design: Cohort study; Level of evidence, 2.<\/jats:p>\n                  <jats:p>Methods: From January 2006 to June 2007, 90 patients (age, &gt;55 years) with a rotator cuff tear and biceps tendon lesion (tear more than 30%, subluxation or dislocation, or degenerative superior labrum anterior to posterior lesion type II) were evaluated prospectively. The first 45 patients treated consecutively underwent biceps tenodesis, and the next 45 underwent biceps tenotomy. Postoperatively, patient evaluations were conducted with a focus on (1) \u201cPopeye\u201d deformity, (2) arm cramping pain, and (3) elbow flexion powers (measured with a hand dynamometer). Overall shoulder function was assessed with the American Shoulder and Elbow Surgeons (ASES) score and the Constant score.<\/jats:p>\n                  <jats:p>Results: At final follow-up, 43 in the tenodesis and 41 in the tenotomy groups were available for evaluation. There was no difference between groups in demographic data such as age, sex, dominant arm, and the time from symptom to surgery and in preoperative ASES score, Constant score, and rotator cuff tear size. A Popeye deformity occurred in 4 (9%) in the tenodesis group and in 11 (27%) in the tenotomy group ( P = .0360). Mild cramping pain was observed in 2 in the tenodesis group and 4 in the tenotomy group ( P = .4274). Mean elbow flexor power ratio (vs the contralateral side) showed no difference between the 2 groups, with mean values of 0.92 \u00b1 0.15 (tenodesis) and 0.94 \u00b1 0.19 (tenotomy) ( P = .7475). The ASES and Constant scores were improved from 38.9 \u00b1 14.2 and 52.1 \u00b1 21.3 to 84.7 \u00b1 13.6 and 82.9 \u00b1 13.5 in the tenodesis group ( P &lt; .0001) and from 35.2 \u00b1 10.5 and 48.1 \u00b1 21.3 to 79.6 \u00b1 15.8 and 78.3 \u00b1 14.1 in the tenotomy group ( P &lt; .0001), respectively.<\/jats:p>\n                  <jats:p>Conclusion: Suture anchor tenodesis of the long head of the biceps tendon appears to lead to less Popeye deformity than tenotomy. No other clinical variables showed a difference between the 2 modalities.<\/jats:p>","DOI":"10.1177\/0363546510364053","type":"journal-article","created":{"date-parts":[[2010,6,15]],"date-time":"2010-06-15T22:54:32Z","timestamp":1276642472000},"page":"1584-1590","source":"Crossref","is-referenced-by-count":204,"title":["Treatment of Biceps Tendon Lesions in the Setting of Rotator Cuff Tears"],"prefix":"10.1177","volume":"38","author":[{"given":"Kyoung Hwan","family":"Koh","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Hwan","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Chul","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,6,15]]},"reference":[{"key":"bibr1-0363546510364053","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(03)00093-2"},{"key":"bibr2-0363546510364053","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B8.19278"},{"key":"bibr3-0363546510364053","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.24852"},{"key":"bibr4-0363546510364053","first-page":"527","volume":"57","author":"Barber FA","year":"2008","journal-title":"Instr Course 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