Mechanical Strength of Four Different Biceps Tenodesis Techniques

To detach the long head of the biceps tendon after tenodesis or not: Outcome analysis at the 4-year follow-up of two different techniques

“…Biceps tenodesis is suggested in young, active patients that present with a degeneration of less than 50% of the biceps tendon fibres, medial subluxation of the biceps tendon, combined subscapularis tears and biceps subluxation or nonreparable SLAP lesions [16,19].…”

Where to Tenodese the Biceps: Proximal or Distal?

“…Biomechanical analysis has established interference screw fixation as stronger than soft tissue tenodesis [2,18]. Since the original description of Gartsman and Hammerman [12] of an onlay technique with Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.…”

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).…”