Treatment of Ruptured Biceps Tendon in Older Patients with Sedentary Demands

Management of a ruptured biceps tendon depends heavily on patient age, functional demands, and the ability to follow through with postoperative care. In older patients with lower activity requirements, a distinct approach is indicated.

This protocol is indicated when: the patient is older with sedentary demands, cosmesis is not a primary concern, or the patient is unable to comply with postoperative immobilization and a structured rehabilitation programme.

Approach overview

In this patient profile, an arthroscopic approach directed at the long head of the biceps tendon is the principal intervention. The primary clinical goal is relief of shoulder pain. The complete technique selection, indications, and post-procedure guidance are available in the full protocol.

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References

DOI: 10.1016/j.csm.2015.08.010

Biceps tenotomy is reserved for the older patient population with sedentary demands, in situations in which cosmesis is not a concern, and in patients who cannot comply with the initial protective rehabilitation protocol.

Tenotomy of the LHBT relieves pain by preventing traction insult to the inflamed or degenerated biceps tendon.

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