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Management of Proximal Biceps Pathology in Overhead Athletes: What Is the Role of Biceps Tenodesis?

Abstract Overhead throwing is a common causative factor in disorders of the proximal biceps in athletes. In recent years, arthroscopic repair of unstable superior labral tears or biceps tendonitis involving the long head of the biceps tendon anchor has become the standard of care. However, in some cases, superior labrum anterior-posterior (SLAP) repair requires additional evaluation and even revision surgery, which contributes to patient dissatisfaction. Differentiating overall biceps tendonitis from superior labral tears alone can be a challenge. More recently, biceps tenodesis has been suggested as a potential option for the treatment of SLAP lesions in overhead athletes. This option is controversial, and data on return to play in overhead athletes are scant.
PMID
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Authors

Mayor MeshTerms

Athletes

Keywords
Journal Title american journal of orthopedics (belle mead, n.j.)
Publication Year Start




PMID- 28235123
OWN - NLM
STAT- MEDLINE
DA  - 20170224
DCOM- 20170313
LR  - 20170313
IS  - 1934-3418 (Electronic)
IS  - 1078-4519 (Linking)
VI  - 46
IP  - 1
DP  - 2017 Jan/Feb
TI  - Management of Proximal Biceps Pathology in Overhead Athletes: What Is the Role of
      Biceps Tenodesis?
PG  - E71-E78
AB  - Overhead throwing is a common causative factor in disorders of the proximal
      biceps in athletes. In recent years, arthroscopic repair of unstable superior
      labral tears or biceps tendonitis involving the long head of the biceps tendon
      anchor has become the standard of care. However, in some cases, superior labrum
      anterior-posterior (SLAP) repair requires additional evaluation and even revision
      surgery, which contributes to patient dissatisfaction. Differentiating overall
      biceps tendonitis from superior labral tears alone can be a challenge. More
      recently, biceps tenodesis has been suggested as a potential option for the
      treatment of SLAP lesions in overhead athletes. This option is controversial, and
      data on return to play in overhead athletes are scant.
FAU - Griffin, Justin W
AU  - Griffin JW
AD  - Jordan-Young Institute for Orthopedic Surgery and Sports Medicine, Virginia
      Beach, VA. [email protected]
FAU - Leroux, Timothy S
AU  - Leroux TS
FAU - Romeo, Anthony A
AU  - Romeo AA
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Am J Orthop (Belle Mead NJ)
JT  - American journal of orthopedics (Belle Mead, N.J.)
JID - 9502918
SB  - IM
MH  - *Athletes
MH  - Humans
MH  - Muscle, Skeletal/*surgery
MH  - Range of Motion, Articular
MH  - Shoulder Joint/*surgery
MH  - Tendon Injuries/*surgery
MH  - Tendons/*surgery
MH  - Tenodesis/*methods
COI - Authors' Disclosure Statement: Dr. Romeo reports that he receives royalties from 
      Arthrex and Elsevier; is a consultant for Arthrex; receives research support from
      Arthrex, Smith and Nephew, Ossur, MioMed Orthopaedics, DJO Global, ConMed
      Linvatec, and Athletico; is on the editorial board of Orthopedics Today, Journal 
      of Shoulder and Elbow Surgery, Techniques in Shoulder and Elbow Surgery,
      Operative Techniques in Sports Medicine, Sports Health, and Orthopedics; and
      receives publisher support from Elsevier and Orthopedics Today. The other authors
      report no actual or potential conflict of interest in relation to this article.
EDAT- 2017/02/25 06:00
MHDA- 2017/03/14 06:00
CRDT- 2017/02/25 06:00
PST - ppublish
SO  - Am J Orthop (Belle Mead NJ). 2017 Jan/Feb;46(1):E71-E78.

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