A Simple Surgical Technique for Subpectoral Biceps Tenodesis Using a Double-Loaded Suture Anchor

Scully, William F.; Wilson, David J.; Grassbaugh, Jason A.; Branstetter, Joanna G.; Marchant, Bryant G.; Arrington, Edward D.

doi:10.1016/j.eats.2013.02.005

Cited by 18 publications

(11 citation statements)

References 15 publications

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“…1,2 Various techniques, both arthroscopic and open, have been described concerning fixation options and proximal (upper portion of the groove) or distal ("suprapectoral" or "subpectoral") tenodesis location. [3][4][5] Specifically, it has been advocated that proximal tendon fixation is related to persistent postoperative bicipital pain. This is possibly due to the inflammation of the remaining tendon within the groove.…”

mentioning

confidence: 99%

“Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension

Valenti

Benedetto

Maqdes

et al. 2014

Arthroscopy Techniques

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Tenodesis of the long head of the biceps tendon (LHB) at the upper part of the bicipital groove has been related to persistent postoperative bicipital pain. This is possibly due to the inflammation of the remaining tendon within the groove. This, in turn, could be attributed to the continual mechanical stress placed on the tendon in the narrow bicipital groove. Theoretically, should the LHB be more "relaxed," the mechanical stress applied on it would be diminished. On the basis of this rationale, we present an arthroscopic biceps tenodesis technique, according to which the tendon is fixed at the entrance of the bicipital groove, using a bioabsorbable screw, relaxed by 5 mm. In this lax position, the residual LHB tension is expected to be decreased compared with the initial tension, whereas no cosmetic deformity (Popeye sign) or impaired muscular performance is anticipated.

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mentioning

confidence: 99%

“Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension

Valenti

Benedetto

Maqdes

et al. 2014

Arthroscopy Techniques

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“…Alternatively, many surgeons favor an open subpectoral technique for biceps tenodesis using an interference screw [61], suture anchor [62], unicortical button [63], or bicortical button for fixation [64]. A recent study by Green et al demonstrated good results in a technique that involves docking the tendon into a socket in the humerus without the use of an interference screw [65].…”

Section: Biceps Tenodesismentioning

confidence: 99%

Diagnosis and Treatment of Injuries to the Biceps and Superior Labral Complex in Overhead Athletes

Calcei

Boddapati

Altchek

et al. 2018

Curr Rev Musculoskelet Med

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A focused patient history, numerous physical examination maneuvers, and appropriate advanced imaging studies must be utilized to reach an accurate diagnosis. Nonoperative management, even in overhead athletes, has demonstrated relatively good outcomes, while operative outcomes have yielded mixed results. The surgeon must take into account a number of variables when choosing the appropriate surgical procedure: labral repair versus biceps tenodesis. Rehabilitation, either as nonoperative management or as a postoperative protocol, should focus on restoring glenohumeral and scapulothoracic strength, endurance, and full, pain-free range of motion, while correcting any deficiencies in balance or rhythm throughout the overhead motion. Despite the operative treatment challenges that SLAP tears present, with new techniques and proper patient selection, overhead athletes with injuries to the biceps and superior labrum complex can return to sport at a high level.

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“…Tenodesis is a tenotomy, and a reinsertion of the tendon either in the intertubercular sulcus or in the subpectoral part of humerus by the use of interference-screws (5) and anchors (6). Because of the need of surgical dissection, the use of Homan retractors, drill-holes, interference-screws and anchors, there is a risk of postoperative pain, infection and nerve-lesion (4,7) after this type of surgery, however most studies report a low rate of complications and good functional outcome after these procedures (1,2,3).…”

Section: Introductionmentioning

confidence: 99%

The biceps challenge - an experimental approach to the anterior shoulder pain, indicating a new treatment logarithm

Humborstad

Geitung²

2019

Preprint

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Background The biceps muscle's long head (LHB) with its tendon and origin represents the most important cause of anterior shoulder pain. Conservative treatments (non-steroid antiinflammatory drugs, injections with steroids and physiotherapy) will normally be the first line of treatment. Long-standing pain will usually lead to surgical treatment with either tenodesis or tenotomy as alternative procedures. The main aim of our investigation was to find structural changes

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A Simple Surgical Technique for Subpectoral Biceps Tenodesis Using a Double-Loaded Suture Anchor

Cited by 18 publications

References 15 publications

“Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension

“Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension

Diagnosis and Treatment of Injuries to the Biceps and Superior Labral Complex in Overhead Athletes

The biceps challenge - an experimental approach to the anterior shoulder pain, indicating a new treatment logarithm

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