The effect of bicipital groove morphology on the stability of the biceps long head tendon

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dc.contributor.authorUlucakoy, Coskun
dc.contributor.authorKaptan, Ahmet Yigit
dc.contributor.authorYapar, Aliekber
dc.contributor.authorOrhan, Ozlem
dc.contributor.authorOzer, Mustafa
dc.contributor.authorKanatli, Ulunay
dc.date.accessioned2024-02-23T13:43:47Z
dc.date.available2024-02-23T13:43:47Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractBackgroundLong head of biceps tendon (LHBT) instability is an important source of pain and disability for the shoulder. Supraspinatus and subscapularis tendons contribute to the formation of the biceps pulley system, which maintains biceps stability during shoulder movements. The aim of this study is to evaluate the effect of morphology of bicipital groove on the stability of LHBT. Also, to evaluate the relationship between bicipital groove morphology and subscapularis rupture and supraspinatus rupture.Material and methodsSurgical images and magnetic resonance images of 200 patients who underwent shoulder arthroscopy surgery in our clinic between January 2016 and December 2017 were retrospectively analyzed. The depth of groove, medial wall angle and opening angle values of 200 patients were measured on MRI. The stability of the biceps long head tendon, rotator cuff tear and SLAP lesions was recorded by monitoring the shoulder arthroscopy records in each groups.ResultsThere were 200 patients, 131 male and 69 female, with an average age of 40.914.2 (range: 17.0-79.0) years. In 69 (34.5%) patients, long head of the biceps tendon (LHBT) instability was detected. The patients were divided into two groups according to LHBT instability.The subscapularis rupture was significantly more frequent in the group with LHBT instability (52.2%) than the group without LHBT instability (4.6%) (p<0.001). The supraspinatus tear was observed in 72.5% in the group with instability and 56.5% in the non-instability group, which shows a statistical difference between the two groups (p=0.027). The presence of SLAP was observed in similar rates in both groups (p=0.053). Mean depth of groove, medial wall angle, and opening angle measurements were similar in both groups (p=0.568, p=0.393 and p=0.598, respectively).ConclusionTo conclude, the morphology of the bicipital groove is not related to the stability of LHBT, and the soft tissue factors above the bicipital groove rather than bone morphology are important in stability. In addition, subscapularis rupture is a pre-disposing factor for LHBT instability; therefore, we recommend a more careful examination of LHBT in patients with subscapularis rupture.Level of evidence III.en_US
dc.identifier.doi10.1007/s00402-021-03760-z
dc.identifier.endpage1330en_US
dc.identifier.issn0936-8051
dc.identifier.issn1434-3916
dc.identifier.issue8en_US
dc.identifier.pmid33484303en_US
dc.identifier.scopus2-s2.0-85099799345en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1325en_US
dc.identifier.urihttps://doi.org/10.1007/s00402-021-03760-z
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10923
dc.identifier.volume141en_US
dc.identifier.wosWOS:000639385100001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofArchives Of Orthopaedic And Trauma Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBicipital Grooveen_US
dc.subjectLong Head Of The Biceps Tendonen_US
dc.subjectShoulderen_US
dc.subjectArthroscopyen_US
dc.titleThe effect of bicipital groove morphology on the stability of the biceps long head tendonen_US
dc.typeArticleen_US

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