Complications associated with subpectoral biceps tenodesis: Low rates of incidence following surgery

Where to Tenodese the Biceps: Proximal or Distal?

“…This is comparable to results with open subpectoral tenodesis. Most recently, Nho et al [17] reported persistent pain after open subpectoral tenodesis in only 0.57% of 353 patients at 3 years. Those authors acknowledge their low rate of residual pain may be attributed to their distal tenodesis location.…”

“…Concerns over persistent bicipital pain associated with arthroscopically placed Bio-Tenodesis TM screws has led some surgeons to advocate for open tenodesis at or under the insertion of the pectoralis major [15][16][17]19]. Sanders et al [21] presented their results comparing proximal and distal tenodesis sites.…”

“…Tenodesis within the upper portion of the groove may allow this inflammation to persist, representing a residual source of pain after tenodesis. Some authors have suggested a more distal tenodesis may eliminate pain generators from tendonitis within the groove [15][16][17]19]. The technical challenges of arthroscopic biceps tenodesis distal to the bicipital groove have led to the development of the open subpectoral tenodesis technique.…”

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

“…6 Biomechanical studies suggest that biotenodesis screws provide stronger fixation compared with suture anchors in cadaveric models, [8][9][10] but in vivo studies have not shown a clinical difference in implant types 4 and failures of the biotenodesis screw have been reported. 11,12 The Mitek Lupine anchor is an absorbable implant composed of poly(lactide-coglycolide) polymer and tricalcium phosphate. Docked on a stainless steel inserter, the anchor is double loaded with two No.…”

“…5 Multiple surgical options for LHB tenodesis have previously been reported, studied, and compared, with innumerable variations related to the tenodesis location (proximal v distal to bicipital groove), surgical approach (arthroscopic v open), and surgical implants used. [1][2][3][4][5][8][9][10][11] In this article we describe and demonstrate a surgical technique for subpectoral biceps tenodesis using a single double-loaded Mitek Lupine suture anchor (DePuy Mitek, Raynham, MA) ( Table 1, Video 1).…”