2021 AOSSM-AANA Combined Annual Meeting Recordings-Effect of age, gender, and BMI on the incidence and satisfaction of a Popeye deformity following biceps tenotomy or tenodesis: outcomes of a multicenter randomized controlled trial

Effect of age, gender, and BMI on the incidence and satisfaction of a Popeye deformity following biceps tenotomy or tenodesis: outcomes of a multicenter randomized controlled trial

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Video Transcription

Video Summary

In this video, the speaker discusses a randomized clinical trial comparing tenotomy to tenodesis as a surgical treatment for longheaded biceps pain and dysfunction. The study aimed to determine the rates of Popeye deformity (a bulging appearance of the muscle) following both procedures and identify predictors for its development. The study sample included 114 patients who were assessed at 24 months post-operatively. The incidence of Popeye deformity was found to be 21% overall, with a higher incidence in the tenotomy group (33%) compared to the tenodesis group (9.5%). Male gender was identified as a significant factor for Popeye deformity. Satisfaction and appearance were also evaluated, with increasing age showing a trend towards greater satisfaction. The speaker suggests considering biceps tenodesis in younger patients to avoid dissatisfaction with the appearance of Popeye deformity.

Asset Caption

Peter MacDonald, MD, FRCSC

Keywords

randomized clinical trial

Popeye deformity

tenotomy

tenodesis

surgical treatment