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Editorial Commentary: Thank You for Demonstrating Histologic Evidence of Shoulder Bicipital Tunnel Disease in the Absence of MRI

Dr. Saithna’s effort to improve the diagnosis of biceps tendon injuries

This letter to the editor highlights some aspects of the ground-breaking body of work that Dr Saithna has performed in improving the diagnosis of biceps tendon injuries. Over a decade ago, it was widely considered that examining the tendon during arthroscopic surgery was the best way to diagnose injuries and degenerative change in this tendon. However, Dr Saithna’s work, and that of other authors, has demonstrated that this method is associated with a high rate of missed diagnoses. Instead, his recommendation to base the diagnosis on listening to the patient and examining them, rather than relying on scans or intra-operative findings, is now widely supported and accepted in the literature.

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