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Related Experiment Videos

Arthroscopic biceps tendon tenodesis: the anchorage technical note.

A Castagna1, M Conti, E Mouhsine

  • 1Humanitas Institute, Milan, Italy.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|December 24, 2005
PubMed
Summary
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A novel arthroscopic technique creates a biological anchor for long head biceps (LHB) tendon pathology, particularly in conjunction with rotator cuff tears. This method aims to improve biomechanics and offers a solution for complex cases, with a low complication rate.

Area of Science:

  • Orthopaedic Surgery
  • Sports Medicine
  • Arthroscopic Techniques

Background:

  • Long head biceps (LHB) tendon pathology is a subject of ongoing debate in orthopaedic surgery.
  • Biceps tenodesis is a common treatment aiming to preserve dynamic function and stabilize the humeral head.
  • Irreversible structural abnormalities of the LHB tendon often coexist with rotator cuff lesions.

Purpose of the Study:

  • To introduce and describe a novel arthroscopic biological anchor technique for treating LHB tendon pathology.
  • To address LHB tendon issues, especially in the context of significant rotator cuff tears with muscle retraction.
  • To evaluate the rationale and potential biomechanical effects of this new transposition technique.

Main Methods:

  • Arthroscopic surgical procedure involving the creation of a biological anchor.

Related Experiment Videos

  • Fixation is established between the LHB tendon and the supraspinatus and/or infraspinatus tendons.
  • Technique is applied based on intra-operative arthroscopic findings.

    • Main Results:

    • The technique demonstrates utility in cases of large rotator cuff ruptures with muscle retraction.
    • The primary complication is failed biological fixation, observed in less than 3% of cases.
    • Failed fixation manifests as tenodesis subsidence and tendon descent, potentially causing aesthetic deformity.

    Conclusions:

    • This biological anchor technique offers a new approach for managing complex LHB tendon pathology.
    • It shows promise in addressing associated rotator cuff defects and muscle retraction.
    • While effective, awareness of potential biological fixation failure is crucial for patient management.