“Tomydesis” might be a reliable technique for lesions of the long head of the biceps tendon associated with rotator cuff tears: a minimum 6-month prospective clinical follow-up study

Purpose To compare the clinical outcomes of self-locking T-tenotomy called “tomydesis” to three different techniques of tenodesis for lesions of the long head of the biceps tendon (LHBT) associated with rotator cuff tears. Hypothesis Tomydesis could provide similar clinical outcomes than the other LHBT tenodesis techniques. Methods This prospective multicentre study included 77 patients who underwent rotator cuff repair concomitant with one of four surgical techniques on the LHBT. All patients had a minimum of 6-month follow-up post-operatively. Outcomes were evaluated based on the Constant score, SSV, pain on visual analogue scale, biceps-specific pain and Popeye deformity on photographs. Results There was no difference for the pain at the biceps muscle belly ( p = 0.58), the bicipital groove ( p = 0.69) and during resisted supination ( p = 0.53), as well as for muscle cramps ( p = 0.09), VAS for pain ( p = 0.12) and Popeye deformity ( p = 0.18). There was more pain in resisted flexion in the tomydesis group ( p = 0.032), and significantly better Constant scores and SSV (