Open Sub-pectoral Tenodesis for Isolated Traumatic Long Head of Biceps Tendon Rupture Provides Excellent Functional Outcomes in Active Male Patients

Description

Dr. Christopher Andrew Waugh presents an insightful discussion on the traumatic rupture of the long head of the biceps tendon, detailing its implications for anterior shoulder pain and instability. He explains the historical perspective on treatment, emphasizing the shift towards surgical intervention, particularly open subpectoral tenodesis, noting the challenges faced due to patient demographics and tendon degeneration. Dr. Waugh outlines a study aimed at evaluating functional outcomes in male patients who underwent this surgical procedure, sharing the methodology, including patient selection criteria and rehabilitation protocols.



A thorough examination of the surgical technique is provided, highlighting the importance of a proper incision and the challenges of identifying various types of tendon injuries. The presentation also features step-by-step visuals of the procedure, including the preparation of the tendon for reattachment and the use of specialized surgical tools for effective outcome.



The results indicate significant postoperative improvements in pain and functionality, with all patients successfully returning to their prior activities without complications. Dr. Waugh concludes by summarizing the study's findings while acknowledging its limitations due to a small sample size and its exclusive focus on male patients. He calls for further research to enhance understanding and treatment of this condition in broader populations.

DOI: 10.1302/3114-210720

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