The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform
Nicola Maffulli - One of the best experts on this subject based on the ideXlab platform.
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bilateral mini invasive adductor Tenotomy for the management of chronic unilateral adductor longus tendinopathy in athletes
American Journal of Sports Medicine, 2012Co-Authors: Nicola Maffulli, Mattia Loppini, Umile Giuseppe Longo, Vincenzo DenaroAbstract:Background:To date, the best management of chronic groin pain related to adductor longus tendinopathy has not been defined. Although there have been some studies investigating the effectiveness of adductor longus Tenotomy, none have investigated bilateral adductor Tenotomy for unilateral tendinopathy.Hypothesis:The use of bilateral percutaneous adductor Tenotomy for the management of chronic unilateral groin pain as a result of adductor longus tendinopathy will result in improvement of overall function and facilitate a return to athletic activity.Study Design:Case series; Level of evidence, 4.Methods:During the period from 2004 to 2007, we prospectively enrolled 29 consecutive athletes (26 male and 3 female; median age, 28 years) with chronic groin pain from unilateral adductor longus tendinopathy who underwent bilateral adductor Tenotomy. Functional outcome and health status were assessed with the Hip Disability and Osteoarthritis Outcome Score (HOOS), Short Form Health Survey (SF-36), and European Quali...
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Tenotomy versus tenodesis in the management of pathologic lesions of the tendon of the long head of the biceps brachii
American Journal of Sports Medicine, 2009Co-Authors: Andrew Frost, Mohammed Saqib Zafar, Nicola MaffulliAbstract:BackgroundPrimary and secondary lesions of the tendon of the long head of the biceps brachii are common, with no clear consensus about their optimal management.HypothesisThere is no difference in outcomes of Tenotomy and tenodesis for lesions of the tendon of the long head of the biceps brachii.Study DesignWe performed a comprehensive quantitative review of the published English-language literature comparing the outcomes of tenotony and tenodesis for lesions of the tendon of the long head of the biceps brachii.MethodsAll relevant articles in peer-reviewed journals were retrieved, and each article was scored using the Coleman Methodology Score, a highly repeatable methodology score, by 2 independent reviewers.ResultsScores were predominantly low for quality of the studies, with patient number and validated outcome measures being the weakest areas.ConclusionThere is a lack of quality evidence to advocate one technique over the other. We emphasize the need for appropriately powered, well-conducted, randomize...
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Management of Achilles tendinopathy by ultrasound-guided percutaneous Tenotomy.
Medicine and science in sports and exercise, 2002Co-Authors: Vittorino Testa, Giovanni Capasso, Franco Benazzo, Nicola MaffulliAbstract:TESTA, V., G. CAPASSO, F. BENAZZO, and N. MAFFULLI. Management of Achilles tendinopathy by ultrasound-guided percutaneous Tenotomy. Med. Sci. Sports Exerc., Vol. 34, No. 4, pp. 573–580, 2002.PurposeTo report the middle to long-term results of ultrasound-guided percutaneous longitudinal Tenotomy of t
Richard S Davidson - One of the best experts on this subject based on the ideXlab platform.
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comparative results of percutaneous achilles Tenotomy to combined open achilles Tenotomy with posterior capsulotomy in the correction of equinus deformity in congenital talipes equinovarus
International Orthopaedics, 2015Co-Authors: Emmanouil Grigoriou, Nariman Abol Oyoun, Indranil Kushare, Keith D Baldwin, David B Horn, Richard S DavidsonAbstract:Purpose The purpose of this study is to compare the efficacy of percutaneous Achilles Tenotomy (AT) to combined open Achilles Tenotomy and posterior capsulotomy (PC+AT) in the correction of residual equinus deformity in congenital talipes equinovarus after Ponseti serial casting in both idiopathic and non-idiopathic clubfeet.
Vittorino Testa - One of the best experts on this subject based on the ideXlab platform.
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Management of Achilles tendinopathy by ultrasound-guided percutaneous Tenotomy.
Medicine and science in sports and exercise, 2002Co-Authors: Vittorino Testa, Giovanni Capasso, Franco Benazzo, Nicola MaffulliAbstract:TESTA, V., G. CAPASSO, F. BENAZZO, and N. MAFFULLI. Management of Achilles tendinopathy by ultrasound-guided percutaneous Tenotomy. Med. Sci. Sports Exerc., Vol. 34, No. 4, pp. 573–580, 2002.PurposeTo report the middle to long-term results of ultrasound-guided percutaneous longitudinal Tenotomy of t
Bernard R. Bach - One of the best experts on this subject based on the ideXlab platform.
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Biceps Tenotomy versus tenodesis: a review of clinical outcomes and biomechanical results
Journal of Shoulder and Elbow Surgery, 2010Co-Authors: Neil Ghodadra, Matthew T. Provencher, Paul B. Lewis, Bernard R. BachAbstract:Hypothesis There are significant differences in incidence of cosmetic deformity and load to tendon failure between biceps Tenotomy versus tenodesis for the treatment of long head of the biceps brachii (LHB) tendon lesions which are supported by the evidence-based strengths and weaknesses of each procedure in the literature. Materials and methods PubMed, Embase, and Cochrane databases were searched for eligible clinical and biomechanical articles relating to biceps Tenotomy or tenodesis from 1966 to 2010. Keywords were biceps Tenotomy , biceps tenodesis , long head of the biceps brachii , and Popeye sign . All relevant studies were included based on study objectives, and excluded studies consisted of abstracts, case reports, letters to the editor, and articles without outcome measures. Results All articles reviewed were of level IV evidence. Combined results from reviewed papers on the differences between LHB Tenotomy vs tenodesis demonstrated a higher incidence of cosmetic deformity in patients treated with biceps Tenotomy. Complications were similar for each treatment, with a higher likelihood of bicipital pain associated with tenodesis. Lack of high levels of evidence from prospective randomized trials limits our ability to recommend one technique over another. Discussion This review demonstrated a higher incidence of cosmetic deformity in patients treated with biceps Tenotomy compared with tenodesis, with an associated lower load to tendon failure. However, there was no consensus in the literature regarding the use of Tenotomy vs. tenodesis for LHB tendon lesions due to variable results and methodology of published studies. Individual patient factors and needs should guide surgeons on whether to use Tenotomy or tenodesis. Conclusions There is a great need for future studies with high levels of evidence, control, randomization, and power, with well-defined study variables, to compare biceps Tenotomy and tenodesis for the treatment of LHB tendon lesions.
Eric C Mccarty - One of the best experts on this subject based on the ideXlab platform.
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biceps tenodesis versus Tenotomy a systematic review and meta analysis of level i randomized controlled trials
Journal of Shoulder and Elbow Surgery, 2021Co-Authors: John W Belk, Matthew J Kraeutler, Darby A Houck, Ashley N Chrisman, Anthony J Scillia, Eric C MccartyAbstract:Background Biceps tenodesis and Tenotomy are 2 surgical treatment options for relief of long head of the biceps tendon (LHBT) pathology and superior labrum anterior-to-posterior (SLAP) tears. The purpose of this systematic review was to compare the clinical outcomes and complications of biceps tenodesis and Tenotomy for the treatment of LHBT or SLAP pathology during shoulder arthroscopy. Methods We performed a systematic review by searching PubMed, the Cochrane Library, and Embase to identify level I randomized controlled trials that compared the clinical outcomes of biceps tenodesis vs. Tenotomy. The search phrase used was as follows: biceps tenodesis Tenotomy randomized. Patients were assessed based on the American Shoulder and Elbow Surgeons score, visual analog scale score for pain, and Constant-Murley score, as well as postoperative range of motion, strength, and cosmetic deformity. Results Five studies (all level I) met the inclusion criteria, including 236 patients undergoing biceps tenodesis (mean age, 60.3 years) and 232 patients undergoing biceps Tenotomy (mean age, 59.7 years). The mean follow-up period was 23.0 months. Overall, 6.8% of tenodesis patients experienced cosmetic deformity at latest follow-up compared with 23.3% of Tenotomy patients (P Conclusion Patients undergoing treatment for LHBT or SLAP pathology with either biceps tenodesis or Tenotomy can be expected to experience similar improvements in patient-reported and functional outcomes. There is an increased rate of cosmetic deformity in patients undergoing biceps Tenotomy compared with tenodesis.
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Biceps Tenotomy Versus Tenodesis.
Clinics in sports medicine, 2015Co-Authors: Kushal V. Patel, Ashley N Chrisman, Jonathan T. Bravman, Armando F. Vidal, Eric C MccartyAbstract:Long head biceps tendon is a common cause of anterior shoulder pain. Failure of conservative treatment may warrant surgical intervention. Surgical treatment involves long head biceps Tenotomy or tenodesis. Several different techniques have been described for biceps tenodesis, including arthroscopic versus open and suprapectoral versus subpectoral. Most studies comparing tenodesis to Tenotomy are limited by the level of evidence and confounding factors, such as concomitant rotator cuff tear. Many studies demonstrate similar outcomes for both procedures. Surgeon preference is likely more influential in choosing between Tenotomy and tenodesis. Higher-powered studies are necessary to elucidate any differences in outcomes if present.
