Surgical Techniques for Shoulder Impingement

This trial explores two surgical techniques for treating shoulder pain caused by biceps tendinopathy, a condition where the biceps tendon becomes inflamed or damaged. Participants will undergo a standard procedure to secure the biceps tendon using either one standard anchor or two smaller anchors. Both methods are safe and commonly used. The trial seeks participants who have been advised to undergo this surgery due to biceps tendinopathy, with or without related rotator cuff issues, and who have not had previous surgery or injury to their biceps. As an unphased trial, this study offers participants the chance to contribute to medical knowledge and potentially improve future treatment options.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Studies have shown that biceps tenodesis, a surgery often used for shoulder problems, is generally safe. Research indicates a low rate of complications for those undergoing the procedure with one anchor. In one study, only about 6.9% of patients experienced complications within the first six months. Another study found that patients who had the procedure with a single anchor reported high satisfaction and improved shoulder function.

Research also suggests that the two mini anchors approach is well-tolerated. Studies have reported a low rate of early complications, with no deep infections or nerve injuries. This method has led to excellent or good results in most cases.

Researchers are excited about these surgical techniques for shoulder impingement because they explore innovative anchor configurations during biceps tenodesis. The "One Anchor" approach uses a single standard anchor, which aims to provide a more straightforward and potentially quicker procedure. Meanwhile, the "Two Mini Anchors" technique involves using two smaller anchors, potentially offering greater stability and less damage to surrounding tissue. By comparing these methods, researchers hope to discover which technique offers better outcomes, such as reduced recovery time or improved shoulder function, compared to traditional surgical methods.

This trial will compare two surgical techniques for shoulder impingement: the single anchor method and the two mini anchors method. Studies have shown that both techniques lead to good outcomes. Participants may receive the single anchor method, which often results in high satisfaction and significant improvement in shoulder function. Research indicates few complications, with most patients experiencing less pain and better movement. Alternatively, participants may receive the two mini anchors method, which has also produced positive results, with many patients feeling satisfied and noticing improvements. Both methods effectively stabilize the shoulder and enhance quality of life.⁶⁷⁸⁹¹⁰