Forearm Position in Subpectoral Biceps Tenodesis

The investigators aimed to compare two different forearm positions, extension-pronation (EP) or neutral, for fixation of the long head of the biceps tendon (LHB) in biceps tenodesis.

Long head of biceps pathologies have been regarded as a source of anterior shoulder pain and disability. Tenodesis is preferable surgical choice for especially young patients to to eliminate anterior shoulder pain. The optimal position of the elbow and forearm during tenodesis is a debated topic. The investigators aimed to evaluate pain and strength loss after biceps tenodesis fixed at extension-pronation (EP) and neutral positions. The investigators aimed to find the most appropriate and anatomical arm position that gives better clinical and functional results.

Long head of biceps tenodesis was performed for 25 patients whose joints were fixated while forearm in the extension-pronation (EP) position

Long head of biceps tenodesis was performed for 25 patients whose joints were fixated while forearm in the neutral position (elbow 90 degrees flexed and hands positioned with the thump pointing up

Fixation was performed after tenodesis in the extension-pronation position, which is the anatomically most suitable position of the biceps tendon.

The investigators evaluated the functional results of the patients with the Ases score. 100 points is the best result in 17 questions.

Inclusion Criteria: -Participants with diagnosis of chronic biceps tendinitis Exclusion Criteria: - Participants who had undergone rotator cuff repair surgery

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