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            [0] => Long-Term Effects Of Long Biceps Tenotomy In Rotator Cuff Sutures
        )

    [etablissement] => Array
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            [0] => hopital régional de zaghouen
        )

    [nom] => Array
        (
            [0] => Elafram
        )

    [prenom] => Array
        (
            [0] => rafik
        )

    [email] => Array
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            [0] => rafik.elafram@gmail.com
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            [0] => 55804635
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Nom prénom / Name Surname: Saadallah Ahmed
Email: SaadallahAhmed @gmailcom
Hôpital / Hospital: hopital régional de zaghouen

 
Nom prénom / Name Surname: Ben Romdhane Majdi
Email: majdi.benromdhane@fmt.utm.tn
Hôpital / Hospital: Hopital FSI la Marsa

 
Nom prénom / Name Surname: Omar Ketata
Email: OmarKetata@gmail.com
Hôpital / Hospital: hopital régional de zaghouen

 
Nom prénom / Name Surname: ben mahmoud aymen
Email: benmahmoudaymen@gmailcom
Hôpital / Hospital: Hopital FSI la Marsa

 
Nom prénom / Name Surname: Elafram Rafik
Email: rafik.elafram@gmail.com
Hôpital / Hospital: hopital régional de zaghouen

        )

    [mots_cles] => Array
        (
            [0] => schoulder, long biceps , arthroscopie,rotator cuff tear;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
        (
            [0] => 1
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            [0] => none
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    [user_email] => Array
        (
            [0] => aymenbenmahmoud11@hotmail.fr
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction 
Lesions of the long biceps are frequently associated with rotator cuff tears and can become a cause of functional impotence, the resection of the LPB seems to find its place in the therapeutic arsenal. Arthroscopic tenotomy of the LPB finds its justification above all in the suppression of the inflammatory and degenerative process resulting from the subacromial impingement.
While the indolence caused by the spontaneous rupture of LPB is a known concept, the clinical and functional impact of its long-term tenotomy
Methods
We took as a reference a group of 20patients, whose average age varies between 40 and 65, presenting with a rupture of the tendons of the cuff.
The intervention was performed arthroscopically, in a semi-sitting position
Endo-articular exploration confirmed rotator cuff tear and extent in 90%of cases. Tenotomy of the LPB was performed in the rotator interval under arthroscopic guidance.
Patients had upper limb immobilization for 4 weeks followed by prolonged physiotherapy
Results
The evaluation of the results was based on clinical and radiographic data with an average follow-up of 3years.
90% of patients were satisfied with the functional result with improvement in pain and difference in muscle strength of less than 20%.The evaluation with the Quick Dash Score noted an improvement of 18%at one year postoperatively compared to the preoperative scores
Conclusion
LPB tendon tenotomy does not impair the functional results of arthroscopic repair of rotator cuff tears. Apart from the aesthetic risk, anterior pain is rare and supine strength is preserved
        )

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