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Subpectoral biceps tenodesis with interference screw fixation.

Augustus D Mazzocca1, Clifford G Rios, Anthony A Romeo

  • 1Department of Orthopaedic Surgery, University of Connecticut School of Medicine, Farmington, Connecticut, USA. admazzocca@yahoo.com

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|July 14, 2005
PubMed
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This study introduces a new subpectoral technique for biceps tenodesis to treat anterior shoulder pain. The novel approach effectively secures the biceps tendon, showing promising results with no reported failures or persistent pain in early follow-up.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Arthroscopy

Background:

  • The proximal long head of the biceps tendon is a common source of anterior shoulder pain.
  • Existing tenodesis techniques may have limitations in addressing this issue.

Purpose of the Study:

  • To present a novel arthroscopic technique for subpectoral biceps tenodesis.
  • To evaluate the safety and efficacy of this new procedure for managing proximal biceps tendon pathology.

Main Methods:

  • Arthroscopic lysis of the proximal biceps tendon near its origin.
  • Subpectoral open tenodesis with the tendon secured in a bone tunnel in the bicipital groove using interference screw fixation.
  • Placement of a whipstitch in the tendon proximal to the musculotendinous junction.

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Main Results:

  • The study included 22 cases with short-term follow-up (2-10 months).
  • No instances of repair failure (pull-out) were reported.
  • No patients experienced persistent pain or loss of function post-procedure.

Conclusions:

  • The described subpectoral approach with interference screw fixation is a promising and reproducible technique for biceps tenodesis.
  • This method offers a viable solution for treating anterior shoulder pain originating from the proximal biceps tendon.