The Modified Norwegian Method of Biceps Tenodesis

Abstract

This technical note describes a method of biceps tenodesis called the Modified Norwegian Method that is an allarthroscopic, intra-articular, bony biceps tenodesis that uses a suture shuttle passer through an anterosuperolateral portal. It allows for easy passage of suture through the long head of the biceps tendon while one is viewing through the posterior portal. We believe this method to be a very reasonable and simple method of biceps tenodesis that has complication rates similar to those described for subpectoral and other methods of fixation.

The modified Norwegian method of biceps tenodesis: how well does it work?

“…There are limitations in this study that should be noted. In addition, there are some limitations to the MNM, which have been previously described [3]. There were some complications from the procedure, although the incidence does not appear to be different than that of other techniques.…”

“…Several methods of arthroscopic and open tenodesis have been described and evaluated in the literature. Recently, a new all-arthroscopic, intra-articular, bony tenodesis called the modified Norwegian method (MNM) of biceps tenodesis was described [3]. This new technique allows the arthroscopist to perform an osseous fixation tenodesis using the same three portals used for concomitant subscapularis, supraspinatus, and infraspinatus tendon repairs.…”

Intra-articular arthroscopic biceps tenodesis with interference screw: clinical and isokinetic evaluation

“… 26 Epidemiologic studies have shown that the number of such procedures has risen between 2007 and 2011, most performed in individuals between ages 30 and 59 years. 52 , 55 Multiple techniques have been described for LHB tenodesis both on soft tissue 12 , 15 , 23 and bone, in which tendon fixation may be obtained with transosseous tunnels, 38 “keyholes,” 19 cortical buttons, 39 suture anchors, 10 , 17 , 45 , 46 , 47 and interference screws. 5 …”