Interference Screw Versus Suture Anchor Fixation for Subpectoral Tenodesis of the Proximal Biceps Tendon: A Cadaveric Study

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis: A Comparison of Restoration of Length-Tension and Mechanical Strength Between Techniques

“…2 Numerous options for surgical approach, location, and method of fixation have been investigated for biceps tenodesis in both cadaveric and clinical studies. Long head biceps tenodesis can be performed with an open [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] or arthroscopic technique 9,18-33 and can be positioned high at the entrance of the bicipital groove, in the suprapectoral location just proximal to the pectoralis major tendon, 9,16,22,30,31,34 in a subpectoral location at or distal to the pectoralis major tendon, 6,10,12,15,16,34 or in other positions, including the conjoint tendon or soft tissue tenodesis sites. 27,32,33,35 Arthroscopic suprapectoral and open subpectoral techniques are 2 common distal techniques for biceps tenodesis.…”

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

“…5 Prior publications have advocated performing the tenodesis 1 cm proximal to the musculotendinous junction to a location 1 cm proximal to the distal extent of the pectoralis major on the humerus, 3,5 which has recently been reaffirmed by cadaveric research. 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.…”

“…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).…”

Biomechanical properties of tenotomy versus biceps knot in a cadaver model

“…frequently causes cosmetic complaints and muscle ache, but can cause bicipital groove pain 1,6,12 and a tenodesis more technically demanding procedure requiring additional operative time and implants. 10,[13][14][15][16] No consensus has been reached regarding the benefit of tenodesis over tenotomy in the published literature due to variable patient characteristics, methodology, and results. 8 Given that there has been no proven difference in functional scores or patient satisfaction between the two interventions, an option that is less challenging and avoids complications is desirable.…”