{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:30:36Z","timestamp":1790015436738,"version":"4.0.1"},"reference-count":16,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"\n Background:<\/jats:title>\n Controversy exits regarding performing a tenotomy versus a tenodesis of the long head of the biceps tendon (LHBT).<\/jats:p>\n <\/jats:sec>\n \n Purpose:<\/jats:title>\n To evaluate the complications after arthroscopic tenotomy of the LHBT and characterize the incidence of cosmetic deformity, cramping, subjective weakness, and continued anterior shoulder pain (ASP). Additionally, to identify patient-related factors that may predispose a patient to these complications.<\/jats:p>\n <\/jats:sec>\n \n Study Design:<\/jats:title>\n Case-control study; Level of evidence, 3.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Records of patients who underwent an arthroscopic LHBT tenotomy at an integrated health care system under the care of 55 surgeons were retrospectively reviewed. Exclusion criteria included LHBT tenodesis, arthroplasty, neoplastic, or fracture surgery; age younger than 18 years; incomplete documentation of physical examination; or incomplete operative reports. Characteristic data, concomitant procedures, LHBT morphology, and postoperative complications were recorded. Patients with and without postoperative complications\u2014including cosmetic deformity, subjective weakness, continued ASP, and cramping\u2014were analyzed by age, sex, dominant arm, body mass index (BMI), smoking status, workers\u2019 compensation status, and intraoperative LHBT morphology to identify risk factors for developing these postoperative complications.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 192 patients who underwent LHBT tenotomy were included in the final analysis. Tenotomy was performed with concomitant shoulder procedures in all but 1 individual. The mean \u00b1 SD patient age was 60.6 \u00b1 9.5 years, and 55% were male. The overall complication rate was 37%. The most common postoperative complications include cosmetic (Popeye) deformity (14.1%), subjective weakness (10.4%), cramping (10.4%), and continued postoperative ASP over the bicipital groove (7.8%). Every 10-year increase in age was associated with 0.52 (95% CI, 0.28-0.94) times the odds of continued ASP and 0.59 (95% CI, 0.36-0.98) times the odds of cramping pain. Male patients had 3.9 (95% CI, 1.4-10.8) times the odds of cosmetic (Popeye) deformity. Patients who had active workers\u2019 compensation claims had 12.5 (95% CI, 2.4-63.4) times the odds of having continued postoperative ASP. Tenotomy on the dominant arm, BMI, and active smoking status demonstrated no statistically significant association with postoperative complications.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Patients experiencing complications after tenotomy were significantly younger and more likely to be male and to have a workers\u2019 compensation injury. LHBT tenotomy may best be indicated for elderly patients, female patients, and those without active workers\u2019 compensation claims.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/2325967120904361","type":"journal-article","created":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T10:39:17Z","timestamp":1582886357000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Risk Factors and Complications Following Arthroscopic Tenotomy of the Long Head of the Biceps Tendon"],"prefix":"10.1177","volume":"8","author":[{"given":"Raffy","family":"Mirzayan","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Kaiser Permanente Southern California, Baldwin Park, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"McCrum","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, UT Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca K.","family":"Butler","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Programming and Research Database Services, Kaiser Permanente, Pasadena, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram Kiran","family":"Alluri","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,2,28]]},"reference":[{"key":"bibr1-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.12.030"},{"key":"bibr2-2325967120904361","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200704000-00008"},{"key":"bibr3-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4609-4"},{"key":"bibr4-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.01.014"},{"key":"bibr5-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508322179"},{"key":"bibr6-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0121286"},{"key":"bibr7-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2001.114259"},{"key":"bibr8-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.08.019"},{"key":"bibr9-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504269555"},{"key":"bibr10-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.02.006"},{"key":"bibr11-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510388158"},{"key":"bibr12-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.32233"},{"issue":"246","key":"bibr13-2325967120904361","first-page":"117","volume":"9","author":"Post M","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"bibr14-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.10.017"},{"key":"bibr15-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.07.008"},{"key":"bibr16-2325967120904361","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2587-8"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2325967120904361","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2325967120904361","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2325967120904361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:47:58Z","timestamp":1777592878000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2325967120904361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,1]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2,1]]}},"alternative-id":["10.1177\/2325967120904361"],"URL":"https:\/\/doi.org\/10.1177\/2325967120904361","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,1]]},"article-number":"2325967120904361"}}