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      Tenodesis vs tenotomy
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      TOPIC: Tenodesis vs tenotomy

      Tenodesis vs tenotomy 4 years, 3 months ago #27051

      • Rollar11
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      I'm scheduled for a biceps tenodesis on 1/17/13 for recurrent SLAP tear. I'm terrified!!! Am I doing the right thing?! Instead of a tenotomy ?!
      image.jpg
      Christina

      R Bucket handle tear 8/6/2002
      R open capsule for bankart repair 12/22/2005
      R revision bankart, SLAP tear type 2 11/2/2006
      Right arthroscopic repair of SLAP tear with open biceps tenodesis 1/17/2013

      Re: Tenodesis vs tenotomy 4 years, 3 months ago #27057

      • riderk
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      Tenodesis is preferred for younger patients. I had it done with an endobutton - no pain, no cramping, easy recovery.

      Re: Tenodesis vs tenotomy 4 years, 3 months ago #27058

      • finny
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      I had a biceps tenodesis on 11/28. It was my 5th surgery on a pretty damaged shoulder. I had the option of a tenotomy and did not want that for several reasons. In surgeries 2-4 I had had the short head of the biceps moved around and screwed back in, so I wasn't sure how that attachment point would handle being the only attachment point. I also didn't want the possible popeye defect and the potential loss of strength.

      From what I've read, the tenodesis is a longer recovery, since it's a reattachment of the biceps. I'm at 5.5 weeks and should come out of the sling next week. I can't lift anything of any substance with that arm. For about 3 weeks I couldn't have done that anyway - even a pad of paper was too much. Now at 5.5 weeks, I feel like I can carry light things but I'm extremely careful. I expect to be in PT for 12 weeks but in the last week feel like things have really taken off, improvement wise.

      As RiderK said, I think the decision depends on your age and activity level. I'm 52 and chose the tenodesis, but for complex reasons.

      Re: Tenodesis vs tenotomy 4 years, 3 months ago #27062

      • Rollar11
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      O ya definitely a tenodesis for you. I'm gonna "man up" and do it on the 17th. So my surgery is on a Thursday and I'm going back to work on Monday. Am I completely crazy? I work as a nurse in a doctors office. I know I can't lift anything, I'm just worried about the pain level.
      Christina

      R Bucket handle tear 8/6/2002
      R open capsule for bankart repair 12/22/2005
      R revision bankart, SLAP tear type 2 11/2/2006
      Right arthroscopic repair of SLAP tear with open biceps tenodesis 1/17/2013

      Re: Tenodesis vs tenotomy 4 years, 3 months ago #27064

      • riderk
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      Ah... back to work on Monday? Really? Why the rush? You will be in a sling most likely for at least 2 weeks.

      Re: Tenodesis vs tenotomy 4 years, 3 months ago #27066

      • Rollar11
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      Ya ill be in a sling for 4 weeks, I don't want to use PTO. I figured I would just sit at the computer and not move to much lol.
      Christina

      R Bucket handle tear 8/6/2002
      R open capsule for bankart repair 12/22/2005
      R revision bankart, SLAP tear type 2 11/2/2006
      Right arthroscopic repair of SLAP tear with open biceps tenodesis 1/17/2013
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