Purpose
To systematically evaluate reported clinical outcomes, return-to-sport (RTS) rates,
and complications following biceps tenodesis in patients aged 35 years and younger
and compare outcomes between overhead and nonoverhead athletes.
Methods
A literature search was performed by querying Scopus, EMBASE, and PubMed computerized
databases from database inception through August 2022 in accordance with the 2020
Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Studies
that evaluated clinical outcomes following biceps tenodesis in patients aged 35 years
or younger were included. Study quality was assessed via the Methodological Index
for Non-Randomized Studies criteria. Clinical outcomes, RTS rates, and complications
were aggregated.
Results
Nine studies from 2011 to 2022 comprising 161 patients (mean age, 25 years; range,
19.7-28.9 years) were included. At an average follow-up of 59 months, postoperative
American Shoulder and Elbow Surgeons score ranged from 81.6 to 96 and the mean visual
analog scale score ranged from 0 to 2.1. Mean overall RTS rate ranged from 35% to
100% for the entire patient cohort 35% to 86% among overhead athletes, and 46% to
100% among nonoverhead athletes. Among the overhead athletes, 24 were baseball pitchers.
17% to 100% able to return to sport at any level. Complications were reported in 0%
to 19% of patients. 0 to 18% of patients underwent revision surgery.
Conclusions
Biceps tenodesis in patients 35 years of age and younger yields a wide variability
in reported RTS rates, excellent clinical outcome scores, and low but variable reported
rates of complications, reoperations, and failure.
Level of Evidence
IV; Systematic Review of Level III and IV studies.
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Article info
Publication history
Published online: December 14, 2022
Accepted:
December 2,
2022
Received:
October 20,
2022
Footnotes
The authors report that they have no conflicts of interest in the authorship and publication of this article. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
Copyright
© 2022 Published by Elsevier on behalf of the Arthroscopy Association of North America
