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Subpectoral Biceps Tenodesis Using an Expanding PEEK Device.

Joseph C Tauro^1,2, Matthew Moralle¹, Stephen Iacono¹

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

Arthroscopy Techniques

|October 4, 2017

Summary

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.

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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.