Vet Comp Orthop Traumatol 2010; 23(01): 51-55
DOI: 10.3415/VCOT-09-01-0005
Clinical Communication
Schattauer GmbH

Long-term follow-up after arthroscopic tenotomy for partial rupture of the biceps brachii tendon

A. L. R. Bergenhuyzen
1   University Ghent Faculty of Veterinary Medicine, Department of Medical Imaging and Small Animal Orthopedics, Merelbeke, Belgium
,
K. A. G. Vermote
1   University Ghent Faculty of Veterinary Medicine, Department of Medical Imaging and Small Animal Orthopedics, Merelbeke, Belgium
,
H. van Bree
1   University Ghent Faculty of Veterinary Medicine, Department of Medical Imaging and Small Animal Orthopedics, Merelbeke, Belgium
,
B. Van Ryssen
1   University Ghent Faculty of Veterinary Medicine, Department of Medical Imaging and Small Animal Orthopedics, Merelbeke, Belgium
› Author Affiliations
Further Information

Publication History

Received: 14 January 2009

Accepted: 27 July 2009

Publication Date:
19 December 2017 (online)

Summary

Objective: To report the long-term clinical outcomes and radiographic results in dogs diagnosed with partial bicipital rupture and treated by arthroscopic tenotomy.

Materials and Methods: The medical records of dogs that had undergone arthroscopic tenotomy were retrospectively reviewed. Inclusion criteria for this study were: performance of an arthroscopic tenotomy between August 1999 and July 2007, availability of arthroscopic records data for review, and ability to obtain follow-up data for more than one year after arthroscopic tenotomy. In all cases, owners were interviewed during follow-up appointments or via telephone to determine perceived outcome after surgery.

Results: Forty-seven arthroscopic tenotomies were performed on 40 dogs without any major surgical complications. Long-term follow-up examinations, ranging from 12 months to 48 months (mean 26 months) after the tenotomy, were obtained for 24 dogs (25 shoulders).

Clinical outcome was assessed as excellent in 22 shoulders, with each dog showing a full return of limb function. A total of 10 dogs (11 joints) were evaluated radiographically; six joints revealed no progression of pathology, and five joints showed a limited progression of pathology.

Conclusion: Arthroscopic tenotomy in the treatment of bicipital partial rupture yields favourable long-term clinical results and a high degree of owner satisfaction. The feasibility of this technique and the long-term clinical and radiographic outcome from our study indicate that this technique can be considered a reliable and safe treatment for partial bicipital rupture.

 
  • References

  • 1 Bardet JF.. Shoulder diseases in dogs. Vet Med 2002; 12: 909-918.
  • 2 Kramer M, Schimke E, Gerwing M. et al. Bizepssehnenerkrankungen beim Hund als Lahmheitsursache. Der praktische Tierarzt 1997; 78: 274-292.
  • 3 Innes JF, Brown G.. Rupture of the biceps brachii tendon sheath in two dogs. J Small Anim Pract 2004; 45: 25-28.
  • 4 Bardet JF.. Diagnosis of shoulder instability in dogs and cats: a retrospective study. J Am Anim Hosp Assoc 1998; 34: 42-54.
  • 5 Bardet JF.. Lesions of the biceps tendon: Diagnosis and classification. Vet Comp Orthop Traumatol 1999; 12: 188-195.
  • 6 Lincoln ID, Potter K.. Tenosynovitis of the biceps brachii tendon in dogs. J Am Anim Hosp Assoc 1984; 20: 385-392.
  • 7 Davidson EB, Griffey SM, Vasseur PB. et al. Histo-pathological, radiographic, and arthrographic comparison of the biceps tendon in normal dogs and dogs with biceps tenosynovitis. J Am Anim Hosp Assoc 2000; 36: 522-530.
  • 8 Gilley RS, Wallace LJ, Hayden DW.. Clinical and pathologic analyses of bicipital tenosynovitis in dogs. Am J Vet Res 2002; 63: 402-407.
  • 9 Stobie D, Wallace LJ, Lipowitz AJ. et al. Chronic bicipital tenosynovitis in dogs: 29 cases (1985–1992). J Am Vet Med Assoc 1995; 207: 201-207.
  • 10 Piermattei DL, Flo GL.. The shoulder joint: Handbook of Small Animal Orthopedics and Fracture Treatment (3rd ed). Brinker WO, Piermattei DL, Flo GL (Editors). Philadephia: Saunders 1997; 228-260.
  • 11 Lechleitner E, Mayrhofer E.. Tendopathien der Ursprungssehne des M.biceps brachii beim Hund – röntgenologische, pathoanatomische and pathohistologische Befunde. Kleintierpraxis 1993; 38: 161-178.
  • 12 Kramer M, Gerwing M, Hach V. et al. Sonography of the musculoskeletal system in dogs and cats. Vet Radiol Ultrasound 1997; 38: 139-149.
  • 13 Kramer M, Gerwing M, Sheppard C. et al. Ultrasonography for the diagnosis of diseases of the tendon and tendon sheath of the biceps brachii muscle. Vet Surg 2001; 30: 64-71.
  • 14 Barthez PY, Morgan JP.. Bicipital tenosynovitis in the dog – evaluation with positive contrast arthrography. Vet Radiol Ultrasound 1993; 34: 325-330.
  • 15 van Bree H.. Evaluation of the prognostic value of positive-contrast shoulder arthrography for bilateral osteochondrosis lesions in dogs. Am J Vet Res 1990; 51: 1121-1125.
  • 16 van Bree H.. Comparison of the diagnostic accuracy of positive-contrast arthrography and arthrotomy in evaluation of osteochondrosis lesions in the scapulohumeral joint in dogs. J Am Vet Med Assoc 1993; 203: 84-88.
  • 17 van Bree H, van Ryssen B.. Arthroscopy in the diagnosis and treatment of front leg lameness. Am J Vet Res 1995; 17 (Suppl. 01) Suppl S32-S34.
  • 18 van Ryssen B, van Bree H, Vyt P.. Arthroscopy of the shoulder joint in the dog. J Am Anim Hosp Assoc 1993; 29: 101-105.
  • 19 Murphy SE, Ballegeer EA, Forrest LJ. et al. Magnetic resonance imaging findings in dogs with confirmed shoulder pathology. Vet Surg 2008; 37: 631-638.
  • 20 Wall CR, Taylor R.. Arthroscopic biceps brachii tenotomy as a treatment for canine bicipital tenosynovitis. J Am Anim Hosp Assoc 2002; 38: 169-175.
  • 21 Adamiak Z, Szalecki P.. Treatment of bicipital tenosynovitis with double tenodesis. J Small Anim Pract 2003; 44: 539-540.
  • 22 Cook JL. et al. Arthoscopic biceps tenodesis: Technique and six results in six dogs. J Am Anim Hosp Assoc 2005; 41: 121-127.
  • 23 Wolfe RS, Zheng N, Weichel D.. Long head of biceps tenotomy versus tenodesis: a cadaveric biomechanical analysis. Arthroscopy 2005; 21: 182-185.
  • 24 Sidaway BK, McLaughlin RM, Elder SH. et al. Role of the tendons of the biceps brachii and infraspinatus muscles and the medial glenohumeral ligament in the maintenance of passive shoulder joint stability in dogs. Am J Vet Res 2004; (Sep) 65: 1216-1222.
  • 25 Osbahr DC, Diamond AB, Speer KP.. The cosmetic deformity of the biceps muscle after long head tenotomy versus tenodesis. Arthroscopy: JArthorosco Relat Surg 2002; 18: 483-487.
  • 26 Gill TJ, McIrvin E, Mair SD. et al. Results of biceps tenotomy for treatment of pathology of the long head of the biceps brachii. J Shoulder Elbow Surg 2001; 10: 247-249.
  • 27 Walch G, Edwards TB, Boulahia A. et al. Arthroscopic tenotomy of the long head of biceps in the treatment of rotator cuff tears: clinical and radio-graphic results of 307 cases. J Shoulder Elbow Surg 2005; 14: 238-246.
  • 28 Maynou C, Mehdi N, Cassagnaud X. et al. Clinical results of arthroscopic tenotomy of the long head of the biceps brachii in full thickness tears of the rotator cuff without repair: 40 cases. Rev Chir Orthop Reparatrice Appar Mot 2005; 91: 300-306.
  • 29 Mariani EM, Cofield RH, Askew LJ. et al. Rupture of the tendon of the long head of the biceps brachii surgical versus non surgical treatment. Clin Orthop Relat Res 1988; 228: 233-239.