Shoulder Surgery
A 58-year-old man with chronic anterior shoulder pain has failed conservative treatment. MRI shows a partial thickness tear of the long head of biceps (LHB) tendon with associated SLAP pathology. He works as a tradesman and is concerned about arm strength and appearance. Examination reveals a positive Speed's test and O'Brien's test. Regarding biceps tenodesis and tenotomy for long head of biceps pathology:
Mark each as TRUE or FALSE
The long head of biceps originates from the supraglenoid tubercle and superior labrum (SLAP complex)...
Biceps tenotomy involves simple release of the LHB at its origin; advantages include shorter operati...
The long head of biceps originates from the infraspinatus; it provides the majority of elbow flexion...
Biceps tenodesis involves releasing the LHB and securing it distally to maintain length-tension rela...
Patient selection: tenodesis is generally preferred in younger, active patients concerned about cosm...
Answer the questions to see explanations
Click T (True) or F (False) for each option