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ORIGINAL RESEARCH article

Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1437814

Pulley Ring Suture Increases Shoulder Stability after Biceps Tendon Transposition

Provisionally accepted
都政 张 都政 张 1Jiezhou Wu Jiezhou Wu 1*Liyun Zhang Liyun Zhang 2*Qiyun Chen Qiyun Chen 1*Chao Wang Chao Wang 1*Ming Cai Ming Cai 1*Ruijun Cong Ruijun Cong 1*
  • 1 Shanghai Tenth People's Hospital, Tongji University, Shanghai, China
  • 2 Shanghai Changzheng Hospital Affiliated to Naval Military Medical University, Shanghai, China

The final, formatted version of the article will be published soon.

    Objective: Modified double-row biceps tenodesis (MDBT) has been proved to be effective in treating slap injuries, but the impact of closing the rotator cuff gap remained postoperatively (the Pulley ring repair) on the long-term shoulder function and stability has not been conclusively investigated.Methods: A retrospective study was conducted on 157 patients with isolated unilateral type II SLAP lesions treated with MDBT from January 2019 to January 2023. 77 patients were without the Pulley ring repair (group A) and the remaining 80 patients were with the Pulley ring repair (group B). T-test, Anova, and chi-square analyses were used to compare the two groups for any statistical differences in the 37 variables. Lasso regression was used to screen and analyze the variables, assess risk, and construct a predictive assessment model.Results: There were significant differences between the two groups at 1 year in ASES and UCLA score (p<0.01). Risk factors screened by LASSO regression were five including Grouping information, Mean T value of bone mineral density, and 3 Months post operation’s UCLA score. These statistically significant variables and their coefficients were used to build a generalized linear equation and selected to build the final model including Grouping information (OR:1.61E+01;95% CI:5.8854~52.5200), Mean T value of bone mineral density (OR:6.95E+00;95% CI:2.4695~25.6797) and 3 Months post operation UCLA score (OR:1.77E+00;95% CI:1.4810~2.2539).Conclusions: Compared with the traditional MDBT, the modified MDBT is more effective in improving the long-term function of the glenohumeral joint and better restoring the biological state of the glenohumeral joint.

    Keywords: Pulley ring, Shoulder arthroscopy, Superior labrum anterior and posterior lesions, SLAP lesions, Modified double-row biceps tenodesis

    Received: 24 May 2024; Accepted: 06 Feb 2025.

    Copyright: © 2025 张, Wu, Zhang, Chen, Wang, Cai and Cong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Jiezhou Wu, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China
    Liyun Zhang, Shanghai Changzheng Hospital Affiliated to Naval Military Medical University, Shanghai, China
    Qiyun Chen, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China
    Chao Wang, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China
    Ming Cai, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China
    Ruijun Cong, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China

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