Table 1.
Tenotomy | Tenodesis |
---|---|
Advantages | |
| |
Simple procedure | Length-tension relation maintenance |
Well-tolerated | Normal elbow flexion |
Less rehabilitation protocol | Normal supination power |
Faster return to activity | Minimize cosmetic deformity Avoid cramping pain |
| |
Disadvantages | |
| |
Cosmetic deformity (Popeye sign) | Longer rehabilitation |
Cramping | More demanding procedure |
Fatigue pain | Low rates of failure fixation, humeral |
Loss of supination strength | Shaft fractures, CRPS, infection |