Modified Biceps Suspension Procedure for Painful Glenohumeral Inferior Subluxation in Hemiplegic Stroke Patients: A Preliminary Study

In this study, we sought to report the early outcomes of a biceps tendon suspension-rotator interval imbrication procedure performed in 5 hemiplegic stroke patients with intractable shoulder pain. This procedure was a modification of a previously reported technique and involved looping the distal end of the proximal biceps long head tendon through transosseous tunnels in the bicipital groove and imbrication of the rotator interval. The mean pain VAS score was significantly improved from 8 preoperatively to 2 postoperatively. The mean American Shoulder and Elbow Surgeons score was also improved from 12 to 45. Four patients were “very satisfied” and 1 patient was “somewhat satisfied” with the surgical outcome. Our study demonstrates that biceps suspension-rotator interval imbrication procedure can be an effective treatment for hemiplegic patients with painful glenohumeral joint inferior subluxation.

Source: Techniques in Shoulder and Elbow Surgery - October 30, 2018 Category: Orthopaedics Tags: Research Articles Source Type: research