Restoring the Anatomic Tension Relationship of the Long Head of the Biceps During Tenodesis

Recruiting in Palo Alto (17 mi)

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Loyola University

No Placebo Group

Trial Summary

What is the purpose of this trial?

The goal of this clinical trial is to determine the clinical impact of restoring the anatomic-tension relationship of the long head of the biceps (LHB) when performing a biceps tenotomy and tenodesis. The main question it aims to answer is whether anatomic tensioning will improve functional outcome scores and decrease postoperative complications. The investigators hypothesize that through a standardized method of anatomically tensioning the LHB tendon during tenodesis, patient outcomes will improve. Researchers will compare these outcomes to a control group receiving the traditional tensioning technique. Participants will be randomized to either the anatomic tensioning treatment group or the traditional tensioning control group.

Research Team

Eligibility Criteria

Inclusion Criteria

I am 18 or older and will have shoulder surgery.

My surgery will be at Loyola University Medical Center, its Ambulatory Surgery Center, or Gottlieb Memorial Hospital.

Treatment Details

Participant Groups

2Treatment groups

Experimental Treatment

Active Control

Group I: Anatomic Long Head of Biceps Tensioning TechniqueExperimental Treatment1 Intervention

Patients that are randomized to the intervention group will undergo biceps tenodesis in a standardized, step-by-step protocol as outlined in a previously published and publicly available article.

Group II: Traditional Long Head of Biceps Tensioning TechniqueActive Control1 Intervention

The control group patient will undergo biceps tenotomy and tenodesis based on surgeon feel on appropriate tensioning of the tendon (Current practice). Of note, there is no universal method or gold standard on how the long head of the biceps should be tensioned during bicep tenodesis.