Comparative outcomes of suprapectoral and subpectoral biceps tenodesis: a systematic review of fixation techniques and functional results
Awan, Manahil Memon, Sahib Memon, Kashif H J Alkhazendar, Jarallah Shafique, Usama Ahmad, Shahzad
Awan, Manahil
Memon, Sahib
Memon, Kashif
H J Alkhazendar, Jarallah
Shafique, Usama
Ahmad, Shahzad
Affiliation
Liaquat National Hospital; Buckinghamshire Healthcare NHS Trust; University Hospitals Birmingham NHS Foundation Trust; East and North Hertfordshire NHS Trust; Azra Naheed Medical College
Other Contributors
Publication date
2025-05-04
Collections
Research Projects
Organizational Units
Journal Issue
Abstract
This systematic review compares the clinical outcomes of suprapectoral versus subpectoral biceps tenodesis performed using various fixation techniques for the treatment of long head of the biceps tendon pathology. A structured search identified eligible randomized controlled trials and meta-analyses that reported functional outcomes such as the American Shoulder and Elbow Surgeons Score (ASES), Constant, and Single Assessment Numeric Evaluation (SANE) scores. The included studies demonstrated no significant differences in postoperative functional outcomes between the two surgical approaches. However, there was a consistent trend indicating a higher complication rate associated with the suprapectoral technique. These findings suggest that while both approaches are effective in restoring function, subpectoral tenodesis may be a safer and more reliable option in appropriate patient populations.
Citation
Awan M, Memon S, Memon K, H J Alkhazendar J, Shafique U, Ahmad S. Comparative Outcomes of Suprapectoral and Subpectoral Biceps Tenodesis: A Systematic Review of Fixation Techniques and Functional Results. Cureus. 2025 May 4;17(5):e83465. doi: 10.7759/cureus.83465.
Type
Article