Biceps Long Head Tenodesis For Ruptures: A Clinical and Statistical Analysis of Outcomes

Abstract

Ruptures of the long head of the biceps (LHB) tendon represent a common clinical condition frequently encountered in orthopedic and sports medicine practice. Although biceps tenotomy is often employed due to its simplicity, biceps tenodesis has gained favor due to its superiority in preserving cosmetic appearance, maintaining strength, and ensuring better long-term functional outcomes. This study evaluates the clinical efficacy, safety, and functional outcomes of biceps tenodesis in a cohort of patients with complete or high-grade partial ruptures of the LHB tendon. Postoperative results were evaluated using standardized scoring systems and isometric strength testing. Statistical analysis validated significant improvements in pain, function, and muscle performance. Our findings contribute to the evidence base favoring tenodesis, especially in younger, active patients.