Treatment of the Biceps With Concomitant Supraspinatus Tears: A Multicenter Pragmatic Three-Arm Parallel-Group Randomized Surgical Trial

What this Trial Is About

Researchers are studying patients aged 50 to 80 with a full-thickness supraspinatus tendon tear to compare three treatments for the long head of the biceps (LHB) tendon, which may cause shoulder pain and dysfunction in rotator cuff problems. The study aims to find out if LHB tenodesis offers better functional outcomes after surgery compared to LHB tenotomy or leaving the tendon intact. The trial also looks at differences in complications and patient satisfaction among these approaches. Participants will be randomly assigned to one of three groups: leaving the LHB tendon intact, performing an arthroscopic tenotomy where the tendon is cut at its origin, or performing an arthroscopic tenodesis where the tendon is cut and reattached using an onlay technique. All patients will undergo rotator cuff repair surgery. This study is conducted across multiple centers and uses a single-blind design to assess these surgical options. During the study, participants will be evaluated at various times, including 6 months and 24 months after surgery. Assessments include the ASES score, pain levels, shoulder function measures, tendon healing status, and any complications. Patient satisfaction and specific imaging findings related to the tendon and repair site will also be monitored. Follow-up will continue for up to two years to observe long-term outcomes and safety.

Treatment of the Biceps With Concomitant Supraspinatus Tears