Surgical Management of Proximal Long Head Biceps Tendon Disorders

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• Disorders of the long head of the biceps tendon are a common cause of shoulder pain and dysfunction.
• Traditional management involved open biceps tenotomy or proximal tenodesis via a deltopectoral approach for biceps tendonitis and instability.

Purpose of the Study:

• To review current and emerging surgical techniques for managing long head of the biceps tendon disorders.
• To discuss the advantages and fixation methods of arthroscopic and open tenodesis procedures.

Main Methods:

• Review of current literature on surgical management of long head of the biceps tendon disorders.
• Description of arthroscopic suprapectoral tenodesis and open subpectoral tenodesis techniques.
• Discussion of common fixation methods including interference screws, suture anchors, and button devices.

Main Results:

• Arthroscopic techniques provide minimally invasive options for securing the biceps tendon.
• Open subpectoral tenodesis offers straightforward exposure and removal of diseased tissue.
• Various fixation devices ensure secure tendon reattachment.

Conclusions:

• Modern surgical options, including arthroscopic and open tenodesis, provide effective solutions for biceps tendon pathology.
• Future developments aim to refine tenotomy techniques to minimize cosmetic deformity and improve fixation methods for efficiency.