Tactics of Surgical Treatment of Instability of the Long Head of Biceps Tendon

Abstract

Objective: assess effectiveness of the tactics and methods developed by the authors for surgical treatment of instability of the long biceps head tendon. Material and methods. The results of the treatment of 66 patients with instability of the long head of biceps tendon over 2004-2017 have been studied. Depending on the diagnosed type of instability of the long head of biceps tendon, the subjects were divided into 5 groups by Bennet classification (2003). Patients with type 1 and type 2 of damage were prescribed a course of conservative therapy, patients with type 3-5 were recommended surgical treatment using arthroscopy and the methods developed by the authors. Results and discussion. According to the OSS, 66 patients, who had undergone treatment, revealed 38 (57.6 %) excellent, 13 (19.7 %) good, 14 (21.2 %) satisfactory and 1 (1.5 %) unsatisfactory treatment outcomes. The result of the assessment is presented in the form of Me [Q25; Q75] and made up 56 points before the treatment [46; 56], and 14 [12; 32] after it. The tactics and methods of surgical treatment developed by the authors aimed at eliminating damage to the rotator-bicipital complex have confirmed their effectiveness. Conclusion. The tactical approaches aimed at correcting damage to the rotator-bicipital complex is a promising way to improve the clinical results of the treatment.