Comparative outcomes of suprapectoral and subpectoral biceps tenodesis: a systematic review of fixation techniques and functional results
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.
Date
2025-05-04
Type
Article
Subject
Orthopaedic procedures, Tendon injuries, Systematic review, Upper extremity
Collections
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.
Journal / Source Title
Cureus
DOI
10.7759/cureus.83465
PMID
40462794
Publisher
Cureus
Publisher’s URL
https://www.cureus.com/