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<p>Autologous augmentation using a compressed stump of the long head of the biceps tendon (LHBT) offers a promising approach for treating large rotator cuff tears (LRCT). This case report highlights the successful application of this technique. A 77-year-old active female presented with right shoulder pain and restricted mobility. Initial MRI revealed multiple injuries, including a complete supraspinatus tear and a partial infraspinatus rupture. Following arthroscopic rotator cuff repair, subacromial decompression, and suprapectoral tenodesis of the LHBT, the remaining stump was used as an augmentation patch for the supraspinatus tendon. Six months postoperatively, the patient demonstrated full, pain-free mobility and successful patch integration. This case underscores the potential of the LHBT as an autologous graft to enhance healing and stability in LRCT. As a promising technique, LHBT augmentation could provide an effective solution for managing large rotator cuff tears, particularly in patients at high risk of retear.</p>

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Autograft augmentation with compressed long head of the biceps tendon for large rotator cuff tears

  • 期刊论文

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  • 发表日期：

    2025年1月31日

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  • Andrea Estfeller,
  • Ulrich Lanz

摘要

Autologous augmentation using a compressed stump of the long head of the biceps tendon (LHBT) offers a promising approach for treating large rotator cuff tears (LRCT). This case report highlights the successful application of this technique. A 77-year-old active female presented with right shoulder pain and restricted mobility. Initial MRI revealed multiple injuries, including a complete supraspinatus tear and a partial infraspinatus rupture. Following arthroscopic rotator cuff repair, subacromial decompression, and suprapectoral tenodesis of the LHBT, the remaining stump was used as an augmentation patch for the supraspinatus tendon. Six months postoperatively, the patient demonstrated full, pain-free mobility and successful patch integration. This case underscores the potential of the LHBT as an autologous graft to enhance healing and stability in LRCT. As a promising technique, LHBT augmentation could provide an effective solution for managing large rotator cuff tears, particularly in patients at high risk of retear.