Treatment of Ruptured Biceps Tendon in Young, Active Patients with Heavy Physical or Occupational Demands
In young, physically active individuals — including those with significant recreational or occupational physical demands and those with a thin muscular build — management of a ruptured biceps tendon requires careful consideration of functional and cosmetic outcomes.
Clinical Scenario
This protocol is specifically indicated for young and active patients with heavy physical recreational or occupational demands, and for thin muscular patients — populations in whom preserving the musculotendinous unit's integrity is a particular clinical priority.
Treatment Approach
The preferred intervention in this patient group involves a form of biceps tenodesis directed at the proximal humerus. The complete technique selection, procedural algorithm, and management sequence are contained in the full protocol.
Treatment Goals
- Relief of shoulder pain
- Absence of Popeye deformity
- Absence of biceps cramping
References
DOI: 10.1016/j.csm.2015.08.010
- We prefer to perform biceps tenodesis in young and active patients, patients with heavy physical recreational or occupational demands, and thin muscular patients.
- Biceps tenodesis provides a new fixation point for the tenotomized tendon in the proximal humerus, and thus maintains the length-tension relationship of the musculotendinous unit.
- Both tenotomy and tenodesis are effective in relieving pain from biceps tendon disorder in the presence of rotator cuff tears.
- Tenodesis of the LHBT establishes the length-tension relationship and minimizes the risk of Popeye deformity.
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