Purpose. Biceps long head pathology is often associated with rotator cuff tears. The aim of this study was to determine the effect of possible associated biceps procedure on the treatment outcome in rotator cuff repair. Methods. 148 consecutive shoulders operated for isolated full-thickness supraspinatus tendon tear were included. A biceps tenotomy or tenodesis was performed in cases of irritated/frayed and/or unstable biceps tendon. The patients were grouped into three groups according to the biceps procedure (no procedure, tenotomy, and tenodesis). The age-adjusted Constant score was used as an outcome measure. Results. 145 shoulders (98%) were available for final followup. Preoperatively, there was no statistically significant difference in Constant scores. At three months, there was a statistically significant positive change in Constant scores compared with preoperative status in the tenotomy group in women. At one year there was a statistically significant positive change in Constant scores in all groups in both genders. However, there was no statistically significant difference between the groups at one year in either gender. Conclusion. Biceps procedure does not affect the final clinical treatment outcome after rotator cuff repair. Recovery from operative treatment may be faster in tenotomized female patients in cases of encountered biceps pathology. 1. Introduction Biceps long head tendon (BLHT) has been thought to be a significant source of anterior shoulder pain [1]. Biceps tendon pain is often difficult to assess clinically [2]. Lafosse et al. reported that preoperative tests for biceps tendon pathology did not correlate with intraoperatively observed findings [3]. Therefore, the decision of whether to treat possible biceps pathology is often made intraoperatively during the arthroscopic evaluation. A rupture or instability of BLHT is rarely an isolated condition and is commonly associated with rotator cuff tendon pathology [4–6]. Lafosse et al. reported BLHT instability in 45% of the patients with an operatively treated rotator cuff tear [3]. Accordingly, Chen et al. found BLHT pathology in at least 76% of the patients with an operatively treated rotator cuff tear [7]. Both biceps tenotomy and tenodesis have been reported as effective procedures to manage BLHT pathology also adjunct with rotator cuff pathology [8–11]. However, biceps tenotomy may be regarded as an anatomically, functionally, and cosmetically compromising procedure and may potentially cause harm to the patient [12, 13]. The aim of this study was to evaluate the effect of
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