The IBTIS score; a new prognostic score for arthroscopic biceps tenotomies

Shoulder pain associated with tendinopathy of the long head of biceps (LHB) is common. Surgical treatment with arthroscopic tenotomy of the LHB has been shown to be effective. However, it's efficacy is inconsistent. The objective of this study was to assess the pre-operative clinical and radiol...

Full description

Saved in:
Bibliographic Details
Published in:Orthopaedics & traumatology, surgery & research surgery & research, 2022-04, Vol.108 (2), p.103114-103114, Article 103114
Main Authors: Bozon, Olivier, Chiche, Léo, Salabi, Vincent, Lazerges, Cyril, Chammas, Michel, Coulet, Bertrand
Format: Article
Language:English
Subjects:
Aged
Arm - surgery
Arthroscopy
Humans
IBTIS score
Long head of biceps tenotomy
Prognosis
Prognostic score
Retrospective Studies
Rotator Cuff Injuries - diagnostic imaging
Rotator Cuff Injuries - surgery
Shoulder Pain - etiology
Shoulder Pain - surgery
Tendinopathy - surgery
Tenodesis - methods
Tenotomy - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Shoulder pain associated with tendinopathy of the long head of biceps (LHB) is common. Surgical treatment with arthroscopic tenotomy of the LHB has been shown to be effective. However, it's efficacy is inconsistent. The objective of this study was to assess the pre-operative clinical and radiological prognostic factors of arthroscopic tenotomy of the long head of biceps, and to establish a predictive score for good responses to treatment; the IBTIS score (Isolated Biceps Tenotomy Index Score). Prognostic factors representing a good response to treatment of LHB tendinopathy by arthroscopic tenotomy exist. We conducted a retrospective monocentric study including 64 patients who underwent surgery of the LHB by arthroscopic tenotomy (with or without tenodesis) between January 2018 and March 2020. We identified 2 patient groups (good responder group and poor responder group) from a 3-month post-operative clinical assessment, which included a subjective assessment comprising Single Shoulder Value (SSV), Constant score, C-Test, and pain level. Prognostic factors of a good response were then sought from the 2 groups using interviews, clinical examinations and pre-operative imaging. Based on these findings, a predictive score for a good response was established. All evaluation criteria demonstrated post-operative improvement: mean SSV (72.2 vs 50.7; p
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2021.103114