Proximal Biceps Tenodesis Incorporated into Supraspinatus Repair: A Case Series and Technical Description

Veenstra, Joshua; Geeslin, Andrew G.; Uggen, Christopher

doi:10.1177/2325967120975354

Orthopaedic Journal of Sports Medicine

2021

DOI: 10.1177/2325967120975354

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Proximal Biceps Tenodesis Incorporated into Supraspinatus Repair: A Case Series and Technical Description

Joshua Veenstra

Andrew G. Geeslin

Christopher Uggen

Abstract: Background: Biceps tendon pathology is commonly associated with rotator cuff tears. A multitude of different biceps tenodesis techniques have been studied, with limited clinical data on arthroscopic biceps tenodesis techniques incorporated into rotator cuff repairs. Purpose: To evaluate the outcomes of an arthroscopic biceps tenodesis incorporated into a supraspinatus tendon repair. Study Design: Case series; Level of evidence, 4. Methods: Patients undergoing surgical treatment of supraspinatus tendon tears wi… Show more

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“…Veenstra et al evaluated 19 patients with proximal biceps tenodesis incorporated into supraspinatus repair for a mean of two years(33). Their technique incorporated LHB tendon into the articular side of rotator cuff.…”

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confidence: 99%

Arthroscopic Biceps Tenodesis: Midterm Clinical Results of a New Anchor Suture Technique in Patients with Single-Row Rotator Cuff Repair

Saremi¹,

Heidari²,

Sharifi³

et al. 2023

Muscle Ligaments and Tendons J

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Objective. This study evaluated the midterm clinical results of doing the arthroscopic proximal long head of the biceps tenodesis with an anchor suture of subscapularis or supraspinatus repair in patients with arthroscopic rotator cuff repair. Methods. We evaluated the clinical results of long head of biceps tendon tenodesis in patients with single-row rotator cuff repair. They were all treated with our technique in which we did the tenodesis with anchor suture of rotator cuff repair in a manner that provides both bony and soft tissue attachment for the tendon. We evaluated the results of the long head of the biceps (LHB) tenodesis in all patients by looking for Popeye deformity, anterior shoulder tenderness, asking for anterior shoulder pain, and measuring elbow flexion and forearm supination force compared to the normal side as a primary goal, and compared results of LHB tenodesis with subscapularis or supraspinatus tendon suture as a secondary goal too. Results. A number of 131 patients participated in the final follow-up: 34 patients had LHB tenodesis with subscapularis tendon suture and 95 patients with supraspinatus tendon suture. Mean of follow-up time was four years (24 to 71 months). Two patients had the Popeye deformity (1.5%), five patients had the anterior shoulder tenderness (3.8%), and seven patients suffered from anterior shoulder pain (5.3%). Elbow flexion and forearm supination forces were measured in the affected and non-affected limbs. There was no significant difference between the two limbs. Those who had LHB tenodesis with supraspinatus anchor suture had better results and less complications. Conclusions. Arthroscopic tenodesis of the LHB tendon incorporated into single-row rotator cuff repair is a cost-efficient method, leading to better results for implant or soft tissue tenodesis too. Fixing to supraspinatus tendon seems to have better results and fewer complications compared to subscapularis tendon.

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confidence: 99%

Arthroscopic Biceps Tenodesis: Midterm Clinical Results of a New Anchor Suture Technique in Patients with Single-Row Rotator Cuff Repair

Saremi¹,

Heidari²,

Sharifi³

et al. 2023

Muscle Ligaments and Tendons J

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“…7 Thanks to the funnel shape of the LHB (which heals in the groove when it's intact), the occurrence of a Popeye sign can be prevented without the use of further hardware. Another option, outlined in this article, is to attach the LHB together with the anterior border of the supraspinatus tendon (SSp) 8,9 on the most anteromedial anchor placed at the supraspinatus footprint. We use a double lasso loop (DLL) technique to improve the grasp on the biceps tendon: the 360 double lasso.…”

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The 360 Double Lasso Loop for Biceps Tenodesis: Tips and Tricks

Lafosse

Kopel

Beckers

et al. 2021

Arthroscopy Techniques

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The management of the intra-articular portion of the long head of the biceps tendon (LHB) is a recurring topic in every discussion about shoulder pain. In massive rotator cuff tears or in tears of the superior third of the subscapularis tendon, our approach is to systematically perform a tenodesis of the LHB. In this Technical Note, we present our arthroscopic technique for LHB tenodesis at the articular margin of the humeral head using a single anchor and a 360 double lasso loop. This technique guaranties a strong and efficient fixation of the biceps tendon and is reproducible when following the steps and tips and tricks outlined herein.

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Clinical Outcome of an All Arthroscopic ‘Whole Layer’ Rotator Cuff Repair Technique with Simultaneous Biceps Tenodesis

Shih,

Lin,

Huang

et al. 2024

Orthopaedic Surgery

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ObjectiveTo retrospectively evaluate clinical outcomes, including function and pain, of patients after our all arthroscopic “whole layer” rotator cuff repair technique with simultaneous biceps tenodesis procedure; factors influencing results were also evaluated. Given the frequent association of rotator cuff tear with long head of biceps lesion and the need for effective combined treatment strategies, this study aims to evaluate the efficacy of our technique and compare it with established methods. We hypothesized that our technique would significantly improve function and reduce pain in patients with rotator cuff tears and biceps pathology.MethodsThis is a retrospective study that included patients older than 20 years who underwent all arthroscopic “whole layer” rotator cuff repair technique with simultaneous biceps tenodesis procedures for concomitant rotator cuff tear and long head biceps pathology, from 2016 to 2020. Patients were evaluated preoperatively and at a minimum of 2 years of follow‐up using the American Shoulder and Elbow Surgeons (ASES) and visual analogue scale (VAS) scores paired t‐tests were used for analysis and statistical significance was set at p < 0.05(two‐tailed). The satisfaction rate and complications were also evaluated.ResultsAfter an average follow‐up of 2.3 years, 118 patients demonstrated significant improvement in both the ASES score (from 36.13 to 95.01, p < 0.001) and VAS score (from 6.81 to 0.89, p < 0.001). Ninety‐four percent of the patients reported satisfaction with the surgical outcome. No complications related to Popeye deformity, biceps cramping pain, or ipsilateral shoulder reoperation were observed. Factors such as age, sex, body mass index (BMI), smoking status, alcohol consumption, hypertension, and diabetes did not influence the results. Patients showed significant improvement in both the ASES and VAS scores (p < 0.001).ConclusionAt a mean follow‐up time of 2.3 years, the all arthroscopic “whole layer” rotator cuff repair technique with simultaneous biceps tenodesis is a therapeutic and efficient procedure. The procedure revealed a satisfactory functional outcome, reduced pain, and minimal complications and reoperations.

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Proximal Biceps Tenodesis Incorporated into Supraspinatus Repair: A Case Series and Technical Description

Cited by 3 publications

References 21 publications

Arthroscopic Biceps Tenodesis: Midterm Clinical Results of a New Anchor Suture Technique in Patients with Single-Row Rotator Cuff Repair

Arthroscopic Biceps Tenodesis: Midterm Clinical Results of a New Anchor Suture Technique in Patients with Single-Row Rotator Cuff Repair

The 360 Double Lasso Loop for Biceps Tenodesis: Tips and Tricks

Clinical Outcome of an All Arthroscopic ‘Whole Layer’ Rotator Cuff Repair Technique with Simultaneous Biceps Tenodesis

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