Tenoscopic Suprapectoral Biceps Tenodesis.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Endoscopy

Background:

• Arthroscopic proximal biceps tenodesis presents challenges including tendon identification, length-tension restoration, cosmetic issues, and persistent pain.
• These complications can necessitate revision surgery in a significant number of patients.

Purpose of the Study:

• To introduce and evaluate the tenoscopic suprapectoral biceps tenodesis (TSBT) technique.
• To highlight the benefits of TSBT over conventional arthroscopic methods for proximal biceps pathologies.

Main Methods:

• Description of the tenoscopic suprapectoral biceps tenodesis (TSBT) procedure.
• Focus on endoscopic treatment of the biceps tendon and surrounding structures.

Main Results:

• TSBT simplifies tendon identification and reduces invasiveness by avoiding the deltoid space and bursa.
• The technique effectively treats the biceps tendon and associated tissues, maintaining the physiological length-tension relation.
• Procedure is simplified and accelerated through tendon exteriorization.

Conclusions:

• TSBT offers potential advantages over conventional arthroscopic biceps tenodesis.
• These benefits include improved clinical and cosmetic outcomes, with potentially lower rates of persistent pain and shoulder stiffness.