Article

There is currently no consensus on the choice between tenotomy and
tenodesis of the long head of the biceps tendon in rotator cuff repair. The
Popeye sign is often seen as a drawback of tenotomy. The main objective of the
present study was to determine the frequency and clinical impact of the Popeye sign. HYPOTHESIS: The Popeye sign is rarely found clinically, and shows little
functional impact following tenotomy. METHODS:
A single-center
non-randomized prospective study was conducted between February and October 2015
in all patients undergoing rotator cuff surgery. Patients without surgery on the
long head of the biceps tendon were excluded. The rate of Popeye sign was
assessed 6 months postoperatively. Tenotomy patients with and without Popeye sign
were compared in terms of pain on visual analog scale</=3, gain in range of
motion, improvement in subjective shoulder value, discomfort or cramps and gain
in Constant score. RESULTS: Seven of the 55 patients included (15.2%) showed
postoperative Popeye sign. There were no differences between the groups with and
without Popeye sign on any of the assessment criteria except for a significantly
greater improvement in mean Constant range of motion score in the Popeye group:
gain of 13.8 versus 3.8 points; p=0.01. DISCUSSION: The Popeye sign was
relatively rarely observed. Functional impact in the present study was slight.
Longhead of the biceps tenotomy is a justifiable treatment option in case of
associated rotator cuff tear repair. LEVEL OF EVIDENCE: IV, prospective
non-randomized.
CI - Copyright (c) 2018. Published by Elsevier Masson SAS.

Langue : ANGLAIS