Technique for Arthroscopic Long Head of Biceps Tenodesis Using Anchor With Fork Tip Eyelet

Daoud, Jack; Aouad, Dany; Abdelnour, Hisham; Hanna, Robert F.; Rassi, Georges El

doi:10.1016/j.eats.2017.09.005

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Furthermore, the tenodesis we investigated has the advantages of minimal dissection area and scar formation, since smaller drill holes with the proper distance between the two fixation sites can effectively reduce the risk of fracture and lower the risk of neurovascular injury, which can shorten the recovery period and provide conditions for early functional exercise. The above advantages were also reported to be effective in reducing surgical complications 26,36 .…”

Section: Discussionmentioning

confidence: 95%

Arthroscopic Modified Double‐Row Biceps Tenodesis versus Labral Repair for the Treatment of Isolated Type II SLAP Lesions in Non‐Overhead Athletes

Song

Wang

et al. 2022

Orthopaedic Surgery

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Objective: To evaluate the postoperative efficacy and the clinical outcomes of arthroscopic modified double-row biceps tenodesis versus labral repair.Methods: A retrospective study was conducted in 56 patients with isolated type II superior labrum anterior and posterior (SLAP) lesions from March 2015 to November 2018. Thirty patients (male:female = 17:13) were treated with labral repair, and 26 patients (male:female = 15:11) were treated with modified double-row biceps tenodesis. The average age of the labral repair group and the modified double-row biceps tenodesis group were 42.8 AE 10.6 and 40.9 AE 10.2 years, respectively. Pre-and postoperative assessments with the visual analog scale (VAS), University of California Los Angeles (UCLA), and American Shoulder and Elbow Surgeons (ASES) scores were compared between the two treatment groups. Additional outcome measures included patient satisfaction, the time to return to previous activities, workers' compensation status, and postoperative complications.Results: At a 2-year follow-up, the tenodesis group showed significant differences in postoperative VAS (1.5 to 1.8, respectively; p = 0.008), patient satisfaction (92.3% vs. 46.7%, p < 0.001), and recovery time to return to their previous activities (6.8 AE 1.8 vs. 8.1 AE 1.5, p = 0.007) compared to the labral repair group; however, there was no significant difference in postoperative ASES and UCLA scores between the two groups. Additionally, one patient in the tenodesis group developed persistent postoperative stiffness, which was resolved by conservative treatment. In the labral repair group, two patients presented with persistent postoperative night pain, three developed persistent postoperative stiffness, and two required a subsequent capsular release.Conclusions: Compared with the labral repair group, the arthroscopic modified double-row biceps tenodesis showed more encouraging postoperative pain reduction, earlier recovery to previous activities, and higher patient satisfaction.

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Section: Discussionmentioning

confidence: 95%

Arthroscopic Modified Double‐Row Biceps Tenodesis versus Labral Repair for the Treatment of Isolated Type II SLAP Lesions in Non‐Overhead Athletes

Song

Wang

et al. 2022

Orthopaedic Surgery

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“…When compared with open subpectoral techniques, arthroscopic suprapectoral techniques such as the one presented in this technical guide provide distinct advantages, including minimal dissection area and scar formation, lack of need for a qualified assistant to aid in retraction, decreased fracture risk based on level of fixation, and decreased risk of neurovascular injury 7, 8. Advantages must be considered in the context of the necessary learning curve, and in the context that an optimal fixation device (i.e., suture anchor, biotenodesis screw) or optimal technique (i.e., subpectoral vs suprapectoral) have yet to be established for biceps tenodesis 2, 9.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor Configuration

Beletsky

Cancienne

Leroux

et al. 2019

Arthroscopy Techniques

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Multiple different techniques exist for performing a biceps tenodesis, and the literature has yet to define a particular technique as superior with respect to outcomes. Factors as the center of various clinical and biomechanical studies include analyzing arthroscopic versus open techniques, optimal fixation sites, and the use specific fixation devices (i.e., anchor, screw). This article details an all-arthroscopic approach for proximal tenodesis of the long head of the biceps tendon (LHBT) using a 2-portal method in a minimally invasive manner. Optimal biomechanical fixation of the LHBT is achieve by using 2 suture anchors in the creation of a dual lasso-loop configuration at the level of the bicipital groove. Technical pearls with respect to optimal arthroscopic viewing, efficient identification of the LHBT and subsequent release from the bicipital groove, and appropriate use of suture anchors for lasso-loop creation are presented for review. Two specific technical advantages of this technique include 2 fixation points for the LHBT to minimize failure risk, and smaller drill holes when compared with commonly performed tenodesis screw techniques to theoretically limit humeral fracture risk.

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Technique for Arthroscopic Long Head of Biceps Tenodesis Using Anchor With Fork Tip Eyelet

Cited by 2 publications

References 6 publications

Arthroscopic Modified Double‐Row Biceps Tenodesis versus Labral Repair for the Treatment of Isolated Type II SLAP Lesions in Non‐Overhead Athletes

Arthroscopic Modified Double‐Row Biceps Tenodesis versus Labral Repair for the Treatment of Isolated Type II SLAP Lesions in Non‐Overhead Athletes

Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor Configuration

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