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Arthroscopic keyhole proximal biceps tenodesis: a technical note.

Rajkumar S Amaravathi¹, Biju Pankappilly, Jean Kany

¹St John's Medical College and Hospital, Bangalore, India.

Journal of Orthopaedic Surgery (Hong Kong)

|December 21, 2011

Summary

This study introduces a simple arthroscopic keyhole technique for proximal biceps tenodesis. The method is safe, cost-effective, and requires no special equipment, making it ideal for widespread adoption.

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Area of Science:

Orthopedic Surgery
Arthroscopy
Sports Medicine

Background:

Proximal biceps tendon tears are a common cause of shoulder pain.
Traditional surgical options for biceps tenodesis can be complex and require specialized instruments.
There is a need for simpler, more accessible surgical techniques.

Purpose of the Study:

To describe a novel arthroscopic keyhole technique for proximal biceps tenodesis.
To evaluate the safety, reproducibility, and cost-effectiveness of this technique.
To highlight the technique's utility in resource-limited settings.

Main Methods:

An arthroscopic keyhole approach was utilized for proximal biceps tenodesis.
The technique does not necessitate any specialized surgical instrumentation.

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Procedure allows for concurrent examination of the biceps sheath and distal tendon.

Main Results:

The described arthroscopic keyhole technique is safe and easy to reproduce.
The method is cost-effective and less time-consuming than traditional approaches.
The technique facilitates identification of associated biceps sheath pathologies.

Conclusions:

The arthroscopic keyhole technique offers a safe, reproducible, and economical solution for proximal biceps tenodesis.
This approach is particularly suitable for developing countries due to its simplicity and minimal equipment needs.
The technique enhances diagnostic capabilities for biceps tendon and sheath abnormalities.