Analysis of Suprapectoral and Subpectoral Biceps Tenodesis

Study Overview
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Brief Summary
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Biceps pathology typically includes pain in the anterior shoulder that is reproduced with provocative maneuvers. However, optimal treatment of patient with this diagnosis is not clear and can include tenotomy (cutting the biceps) or various forms of tenodesis (cutting then reattaching). As tenotomy can lead to cosmetic deformity and anterior humeral discomfort from spasms, many surgeons perform tenodesis. There are various techniques for tenodesis. This study will compare 2 methods: suprapectoral (doing the surgery using an incision higher in the shoulder) versus subpectoral fixation (surgery which involves making an incision lower in the shoulder). Purpose of the study is to prospectively determine whether arthroscopic suprapectoral or open subpectoral biceps tenodesis results in better function.

Official Title
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Prospective Analysis of Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis: 1 Year Follow-Up

Conditions
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Biceps Tendonitis

Intervention / Treatment
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* Procedure: Suprapectoral Biceps tenodesis
* Procedure: Subpectoral biceps tenodesis


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Scheduled to undergo biceps tenodesis Pain at intertubercular groove Anterior Humeral pain Patient agrees to follow up and consent Exclusion Criteria: Biceps Tenotomy Revision biceps procedure Prior SLAP or labral repair Concomitant subscapularis repair More than 1 rotator cuff repair at time of surgery Concomitant arthroplasty Prior infection

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Suprapectoral Biceps Tenodesis<br>Suprapectoral Biceps Tenodesis involves detaching the long head of biceps from it's origin and reattaching it to humerus in the superior border of the pectoralis major insertion | Procedure: Suprapectoral Biceps tenodesis<br> <br> |
| Active Comparator: Subpectoral Biceps Tenodesis<br>Subpectoral Biceps Tenodesis involves detaching the long head of biceps from it's origin and reattaching it to humerus in the inferior border of the pectoralis major insertion | Procedure: Subpectoral biceps tenodesis<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| American Shoulder and Elbow Surgeons (ASES) Shoulder Score | Validated outcome score assessing pain and function of shoulder | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Constant Score | Validated score to assess shoulder pain and function | 1 year |