Subpectoral biceps tenodesis: a new technique using an all-suture anchor fixation

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Surgical Techniques

Background:

• Long head of the biceps (LHB) tenodesis lacks a standardized surgical approach.
• Existing methods for LHB tenodesis present various challenges and outcomes.

Purpose of the Study:

• To describe a novel extramedullary all-suture anchor technique for LHB tenodesis.
• To present an alternative subpectoral biceps tenodesis method utilizing minimal bone drilling.

Main Methods:

• Arthroscopic biceps tenotomy followed by a standard subpectoral approach for tenodesis.
• Utilizing a 1.3-mm Y-Knot all-suture anchor for fixation within a dual cortical bone tunnel.
• Employing a modified rolling hitch suture for tendon fixation.

Main Results:

• The technique involves creating a small bone tunnel, conserving bone stock.
• The all-suture anchor provides secure fixation of the LHB tendon.
• The method minimizes trauma to the biceps tendon during the procedure.

Conclusions:

• This technique offers a viable alternative for subpectoral biceps tenodesis.
• The described method is bone-conserving and minimizes soft tissue trauma.
• Further studies may evaluate the long-term efficacy and patient-reported outcomes of this technique.