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Subpectoral Biceps Tenodesis Using an Expanding PEEK Device.

Joseph C Tauro1,2, Matthew Moralle1, Stephen Iacono1

  • 1Department of Orthopedics, Rutgers New Jersey Medical School, Newark, New Jersey, U.S.A.

Arthroscopy Techniques
|October 4, 2017
PubMed
Summary
This summary is machine-generated.

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This technical note details a mini-open subpectoral tenodesis for the long head of the biceps tendon using an expanding polyether ether ketone (PEEK) device. The procedure offers a quick, safe, and reliable surgical option.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Surgery

Background:

  • The long head of the biceps tendon is a common source of shoulder pain.
  • Subpectoral tenodesis is an established surgical technique for managing biceps tendon pathology.
  • Minimally invasive approaches aim to reduce surgical morbidity.

Purpose of the Study:

  • To describe a specific technique for mini-open long head biceps subpectoral tenodesis.
  • To detail the use of a threadless expanding polyether ether ketone (PEEK) interference device.
  • To present the procedural steps and initial outcomes of this method.

Main Methods:

  • A mini-open approach utilizing a 3-cm incision.
  • Subpectoral placement of the biceps tendon.

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  • Fixation with a threadless expanding PEEK interference device in a 6-8 mm humeral drill hole.
  • Procedure performed under the inferior border of the pectoralis major tendon.

    • Main Results:

    • The described technique allows for fixation of the biceps tendon within the humerus.
    • The procedure is performed through a limited incision.
    • Based on experience, the method is quick, safe, and reliable.

    Conclusions:

    • Mini-open long head biceps subpectoral tenodesis using an expanding PEEK device is a feasible surgical option.
    • This technique offers a minimally invasive and effective solution for biceps tendon pathology.
    • The procedure is associated with favorable preliminary outcomes regarding speed, safety, and reliability.