Subpectoral biceps tenodesis using a novel anterior cortical button technique

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Upper Extremity Reconstruction

Background:

• Biceps pathology necessitates surgical intervention.
• Current subpectoral tenodesis techniques utilize various fixation devices like suture anchors and buttons.

Purpose of the Study:

• To describe a novel technique for subpectoral biceps tenodesis.
• To offer a robust and safe alternative to existing methods.

Main Methods:

• A review of 31 patients undergoing subpectoral biceps tenodesis using an anterior cortical button technique.
• Detailed description of a novel tenodesis technique performed under direct vision.

Main Results:

• The novel technique allows for direct visualization during tenodesis.
• It avoids drilling the far cortex, mitigating neurological injury risk.
• Eliminates the need for a cortical implant, reducing diaphyseal stress riser and fracture risk.

Conclusions:

• The described novel technique provides a robust cortical and intramedullary tenodesis.
• This method enhances patient safety by avoiding potential complications associated with current techniques.
• Offers a promising alternative for managing biceps tendon pathology.