Concomitant Biceps tenodesis with rotator cuff repair has more than doubled between 2013 and 2025: A TriNetX Database study
Abstract/Description/Artist Statement
Introduction:
Arthroscopic rotator cuff repair (RCR) with concomitant biceps tenodesis (BT) is a commonly performed shoulder procedure. There has been an evolution over time regarding the indications and threshold for surgeons to perform BT. Additionally, utilizing an open versus arthroscopic approach for BT is controversial, with varying preferences among surgeons. This study aimed to explore how BT trends have changed between 2013 and 2025 using the TriNetX database.
Methods:
The TriNetX US Collaborative Network was queried for all patients undergoing arthroscopic rotator cuff repair from 2013 to 2025. Queried cohorts for a given year were established using the Current Procedural Terminology procedure codes for RCR (29827) and arthroscopic BT (29828) or open BT (23430). Annual incidence of each procedure was determined by the TriNetX database, and the annual incidence proportion relative to RCR was calculated. Linear regression was performed to analyze changes across time with an alpha=.05 in JMP Student Edition 19.
Results:
The annual number of patients in the database undergoing RCR ranged from 4,222 in 2013 to 14,139 in 2025. The overall frequency of concomitant BT procedures increased from 27% to 58.8% (p< .0001) over this period. Arthroscopic BT increased from 17.3% to 36.0% (p< .001) and open BT increased from 9.7% to 22.8% (p< .001).
Conclusions:
This study demonstrates the frequency of patients undergoing concomitant BT with RCR more than doubled between 2013 and 2025. Both arthroscopic and open BT techniques increased at similar rates although an arthroscopic approach was performed most commonly at all time intervals.
Faculty Advisor/Mentor
Kevin F. Bonner, MD
Faculty Advisor/Mentor Email
kfbonnermd@gmail.com
Faculty Advisor/Mentor Department
Surgery
College/School Affiliation
Eastern Virginia School of Medicine
Student Level Group
Medical
Presentation Type
Poster
Concomitant Biceps tenodesis with rotator cuff repair has more than doubled between 2013 and 2025: A TriNetX Database study
Introduction:
Arthroscopic rotator cuff repair (RCR) with concomitant biceps tenodesis (BT) is a commonly performed shoulder procedure. There has been an evolution over time regarding the indications and threshold for surgeons to perform BT. Additionally, utilizing an open versus arthroscopic approach for BT is controversial, with varying preferences among surgeons. This study aimed to explore how BT trends have changed between 2013 and 2025 using the TriNetX database.
Methods:
The TriNetX US Collaborative Network was queried for all patients undergoing arthroscopic rotator cuff repair from 2013 to 2025. Queried cohorts for a given year were established using the Current Procedural Terminology procedure codes for RCR (29827) and arthroscopic BT (29828) or open BT (23430). Annual incidence of each procedure was determined by the TriNetX database, and the annual incidence proportion relative to RCR was calculated. Linear regression was performed to analyze changes across time with an alpha=.05 in JMP Student Edition 19.
Results:
The annual number of patients in the database undergoing RCR ranged from 4,222 in 2013 to 14,139 in 2025. The overall frequency of concomitant BT procedures increased from 27% to 58.8% (p< .0001) over this period. Arthroscopic BT increased from 17.3% to 36.0% (p< .001) and open BT increased from 9.7% to 22.8% (p< .001).
Conclusions:
This study demonstrates the frequency of patients undergoing concomitant BT with RCR more than doubled between 2013 and 2025. Both arthroscopic and open BT techniques increased at similar rates although an arthroscopic approach was performed most commonly at all time intervals.