2021 Annual Meeting Shoulder Access Pass-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 Summary

This follow-up study of a prior RCT compared tenotomy and tenodesis for long head biceps pain, focusing on the incidence and perception of Popeye deformity. Among 87 patients at 24 months, tenotomy showed a higher 33% incidence versus 9.5% in tenodesis, with men having 7.3 times greater odds of deformity. Patient satisfaction did not differ between groups, but younger patients were less satisfied with Popeye appearance, suggesting tenodesis may be preferable for them. No differences in strength or pain were found. Overall, male gender and procedure type predicted deformity risk, while age influenced satisfaction.

Asset Caption

Dr. Peter MacDonald | The Thrower's Shoulder

Keywords

tenotomy

tenodesis

Popeye deformity

long head biceps pain

patient satisfaction