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The aim of this study is to compare the clinical results and complications of self-locking biceps tenodesis and double 360 lasso loop biceps tenodesis for the treatment of long chief of biceps or superior labrum anterior-posterior (SLAP) tendon pathology during shoulder arthroscopy in patients undergoing arthroscopic rotator cuff repair. Currently, there is no consensus on the use of tenodesis versus tenotomy to treat pathology of the long head of the biceps during arthroscopic rotator cuff repair. Numerous studies have examined the clinical results of long biceps tenotomy versus long biceps tenodesis, and there is no evidence to date of superiority of either technique. At Clinique Générale, we use a new, innovative technique called autobloc tenodesis to treat pathologies of the long head of the biceps. There are no comparative studies between autobloc tenodesis of the biceps and biceps tenodesis. Given its potential advantages, self-locking biceps tenodesis could emerge as the new technique of choice for treating biceps longus tendon pathology, potentially reducing differences in outcomes such as Popeye deformity. The information provided by this study could potentially guide future clinical practice, helping surgeons to choose the most appropriate treatment for their patients suffering from long biceps tendon pathology.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| self-blocking tenodesis | Experimental |
| |
| arthroscopic tenodesis | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| self-blocking tenodesis | Procedure | the LHB tendon is detached from its origin in the superior labrum. This technique supports the self-locking mechanism of the LHB tendon in the bicipital groove by detaching the tendon from the Y-shaped superior glenoid, including the superior labrum. A radiographically visible suture will be attached to the proximal part of the LHB tendon to facilitate later localization of the LHB tendon during imaging (3-0 stainless steel, ethicon). |
| Measure | Description | Time Frame |
|---|---|---|
| Constant score (CMS) | The CMS is a 100-point scale comprising four components, including a patient-reported section (pain 15 points and activity level 20 points), for a total of 35 points. Alongside this, there is a doctor-reported section (shoulder strength 25 points, range of motion 40 points) for a total of 65 points. | 1 year after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| American Shoulder and Elbow Surgeons Score | The ASES is a 100-point scale comprising 2 assessment dimensions: pain and activities of daily living. | 6 weeks, 3 months, 6 months, 1 year after surgery |
| Subjective Shoulder Value (SSV) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Geert Alexander Buijze, MD | Contact | +33 6 69 96 27 33 | gabuijze@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinique Générale | Recruiting | Annecy | 74000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41263857 | Derived | Shirinskiy IJ, Boulidam D, Macken AA, van den Bekerom MPJ, Lafosse T, Buijze GA. Biceps lasso loop and self-locking tenodesis alongside repair of rotator cuff tears: randomised controlled trial study protocol (BLAST 1). BMJ Open. 2025 Nov 19;15(11):e106475. doi: 10.1136/bmjopen-2025-106475. |
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| arthroscopic tenodesis | Procedure | LHB tendon is detached from its origin, and sutured. Next, the LHB tendon is fixed in the bicipital groove using a 360-lasso loop tenodesis technique. A radiographically visible suture will be attached to the proximal part of the LHB tendon to facilitate subsequent localization of the LHB tendon during imaging (3-0 stainless steel, ethicon). |
|
The SSV is a single-question assessment of the patient's perceived shoulder function expressed as a percentage of normal.
| 6 weeks, 3 months, 6 months, 1 year after surgery |
| LHB score | The LHB score assesses symptoms and function related to long head of the biceps tendon pathology. | 6 months, 1 year after surgery |
| Cosmetic appearance | Cosmetic appearance will be assessed by both the patient and the clinician using standardized photographs. | 6 weeks, 3 months, 6 months, 1 year after surgery |
| VAS pain score | Pain intensity will be assessed using a visual analogue scale (VAS) at rest, during activity, and over the bicipital groove. | 6 weeks, 3 months, 6 months, 1 year after surgery |
| Radiograph | Standardized radiographs will assess postoperative migration of the long head of the biceps tendon using a radio-opaque marker. | Direct post-op, 6 weeks, 3 months, 6 months after surgery |
| MRI or Ultra-sound | MRI or ultrasound will assess the postoperative position of the long head of the biceps tendon at final follow-up. | 1 year after surgery |
| ID | Term |
|---|---|
| D000070636 | Rotator Cuff Injuries |
| ID | Term |
|---|---|
| D012421 | Rupture |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D013708 | Tendon Injuries |
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