Biceps Tenotomy vs. Tenodesis Impact on Rehabilitation After Rotator Cuff Repair

Rotator cuff tears are common in older adults, often causing shoulder instability, pain, and reduced upper limb strength. While non-surgical treatments like physical therapy and medication are usually tried first, surgery may be necessary for some cases. Two common surgical procedures, biceps tenotomy and biceps tenodesis, are often performed alongside rotator cuff repair to alleviate pain and improve function. This study aims to compare the effects of these two procedures on hand grip strength, elbow flexion strength, forearm supination strength, and pain perception in patients undergoing surgical repair for rotator cuff tears. The study's findings could help improve care and address current challenges in treating this condition. During the study, participants will undergo either biceps tenotomy or biceps tenodesis alongside their rotator cuff repair. The study will then measure various outcomes to determine the effectiveness of each procedure. Pain levels will be assessed using a visual analog scale, where patients mark their current pain level on a 100mm line. Shoulder function will be evaluated using two questionnaires: the Arabic version of the American Shoulder and Elbow Surgeons score, and the Constant Score. These questionnaires assess shoulder function, pain, range of motion, and strength. Higher scores on these questionnaires indicate better shoulder function. The study will compare the results between the two surgical procedures to determine which one leads to better outcomes.