scholarly journals An Arthroscopic Technique for Long Head of Biceps Tenodesis With Double Knotless Screw

2015 ◽  
Vol 4 (4) ◽  
pp. e375-e378 ◽  
Author(s):  
Wei-Ren Su ◽  
Florence Y. Ling ◽  
Chih-Kai Hong ◽  
Chih-Hsun Chang ◽  
Kai-Chen Chung ◽  
...  
2020 ◽  
Vol 8 (3_suppl2) ◽  
pp. 2325967120S0012
Author(s):  
Kelechi Okoroha ◽  
Brandon J. Manderle ◽  
Alexander Beletsky ◽  
Adam Blair Yanke ◽  
Brian J. Cole ◽  
...  

Objectives: Arthroscopic biceps tenodesis (BT) is a common surgical procedure for treatment of anterior shoulder pain due to long head of the biceps pathology. BT can be accomplished via several different techniques. There continues to be a paucity of literature comparing the different techniques and fixation devices. The purpose of this study was to compare 4 different techniques for accomplishing a BT utilizing radiostereometric analysis. Methods: This study was a prospectively enrolled non-randomized trial of patients undergoing BT. All patients were treated at a single institution by 1 of 4 surgeons. Four different techniques were analyzed, 1) open BT with screw fixation, 2) open BT with single anchor fixation, 3) arthroscopic BT with screw fixation, and 4) arthroscopic BT with two suture anchor fixation. After the BT was completed a tantalum bead was sewn to the long head of the biceps tendon. This bead acted as a marker of the position of the biceps tendon. X-rays were taken during surgery while the patient remained sedated to establish time zero bead position. Follow up x-rays were completed at the patients 1st post-operative visit and 12 week post-operative visit. Position of the bead was measured at each time point in mm from the proximal most point of the humerus to its position distally. Results: A total of 60 patients were included in the analysis, with 15 patients in each of the 4 groups. Final bead position differed significantly for the open and arthroscopic techniques (107.35±20.39mm, 65.64±23.69mm, p<0.001), but did not differ significantly between the two open techniques and the two arthroscopic technique (p>0.05). The open technique resulted in 7.69±5.98mm of distal migration while the arthroscopic technique resulted in a similar amount of distal migration, 8.93±2.71mm. Conclusion: Short-term radiographic outcomes following open and arthroscopic biceps tenodesis revealed that each technique results in stable fixation of the tendon with minimal migration. Although a statistically significant migration occurred, this is likely clinically insignificant. This initial migration observed could be due to increased tensioning of the tendon when the patient is awake versus sedated.


2014 ◽  
Vol 3 (4) ◽  
pp. e427-e430 ◽  
Author(s):  
Jean-Noel Goubier ◽  
Thomas Bihel ◽  
Elodie Dubois ◽  
Frédéric Teboul

2021 ◽  
pp. 175857322198908
Author(s):  
Selim Ergün ◽  
Yiğit Umur Cırdı ◽  
Said Erkam Baykan ◽  
Umut Akgün ◽  
Mustafa Karahan

Background Simultaneous repairs of rotator cuff and biceps tenodesis can be managed by tenodesis of long head of biceps tendon to a subpectoral or suprapectoral area. This review investigated long head of biceps tendon tenodesis with concomitant rotator cuff repair and evaluated the clinical outcomes and incidences of complications based on tenodesis location. Methods Medline, Cochrane, and Embase databases were searched for published, randomized or nonrandomized controlled studies and prospective or retrospective case series with the phrases “suprapectoral,” “subpectoral,” “tenodesis,” and “long head of biceps tendon”. Those with a clinical evidence Level IV or higher were included. Non-English manuscripts, review articles, commentaries, letters, case reports, and sole long head of biceps tendon tenodesis articles were excluded. Results From 481 studies, 13 were chosen. In total, 1194 subpectoral and 2520 suprapectoral tenodesis cases were investigated. Postoperative Constant-Murley and American Shoulder and Elbow Surgeons mean scores showed similar good results. In terms of complication incidences, while transient nerve injuries were more commonly seen in patients with subpectoral tenodesis, persistent bicipital pain and Popeye deformity are mostly seen in patients with suprapectoral tenodesis. Discussion Biceps tenodesis to suprapectoral or subpectoral area with concomitant rotator cuff repair demonstrated similar outcomes. Popeye deformity and persistent bicipital pain were higher in suprapectoral area and transient neuropraxia was found to be higher in subpectoral area. Level of evidence: IV.


2017 ◽  
Vol 5 (7_suppl6) ◽  
pp. 2325967117S0021
Author(s):  
Peter B. MacDonald ◽  
Sheila McRae ◽  
Gregory A. Stranges ◽  
Jason Old ◽  
James Dubberley ◽  
...  

2018 ◽  
Vol 7 (4) ◽  
pp. e299-e305 ◽  
Author(s):  
Jack Daoud ◽  
Dany Aouad ◽  
Hisham Abdelnour ◽  
Robert Hanna ◽  
Georges El Rassi

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