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Modified subpectoral biceps tenodesis.

Hatem G Said1, AbdulRahman A Babaqi, Aly Mohamadean

  • 1Orthopaedic and Traumatology Department, Assiut University Hospital, Assiut, Egypt.

International Orthopaedics
|January 14, 2014
PubMed
Summary
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This modified subpectoral biceps tenodesis technique significantly improved shoulder scores in patients experiencing biceps-related pain. The implant-free method offers adjustable tension and faster soft tissue healing.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Arthroscopy

Background:

  • The proximal long head of the biceps muscle is a common source of shoulder pain.
  • Biceps tendon pathologies like tendonopathy, instability, and tears often require surgical intervention.
  • These conditions can occur independently or alongside rotator cuff, SLAP, or Bankart lesions.

Purpose of the Study:

  • To present a modified bone bridge technique for subpectoral biceps tenodesis.
  • To evaluate the efficacy of this implant-free tenodesis method for shoulder pain relief.

Main Methods:

  • A modified bone bridge technique using two bone tunnels for tenodesis was employed.
  • The biceps tendon was secured back over the muscle without the use of implants.
  • The technique was applied to 30 patients aged 25-48 years.

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Main Results:

  • Significant improvement in mean Constant and Oxford shoulder scores was observed (P < 0.05).
  • Pre-operative mean scores were 39.03 (Constant) and 21.3 (Oxford).
  • Post-operative mean scores improved to 76.43 (Constant) and 44.8 (Oxford) at 12-18 months follow-up.

Conclusions:

  • The modified bone bridge technique offers a viable, implant-free solution for biceps tenodesis.
  • Potential advantages include adjustable tendon tension and accelerated soft tissue healing.
  • This technique shows promise for managing shoulder pain associated with biceps tendon pathology.