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Arthroscopic All-Inside Biceps Tenodesis: Technique and Outcomes.
Edward Thomas Haupt1, Kevin O'Keefe2, Kevin Farmer1
1Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, Florida, U.S.A.
Arthroscopy Techniques
|January 1, 2020
Summary
This study highlights an all-arthroscopic, intra-articular biceps tenodesis technique for shoulder pain. This method offers advantages like reduced surgical time and smaller bone footprint for long head of the biceps tendon (LHBT) disorders.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- The long head of the biceps tendon (LHBT) is a common source of shoulder pathology and pain.
- Existing literature extensively covers LHBT disorder management, often involving intraoperative intervention.
- Current arthroscopic techniques for LHBT pathology are well-documented.
Purpose of the Study:
- To describe the advantages of an all-arthroscopic, intra-articular biceps tenodesis with suture anchor fixation.
- To evaluate the benefits of this technique in treating LHBT disorders within the shoulder.
- To assess the impact of intra-articular LHBT tenodesis on surgical time and bone footprint.
Main Methods:
- An all-arthroscopic approach was utilized for intra-articular biceps tenodesis.
- Suture anchor fixation was employed for securing the tendon.
- The procedure was performed within the bicipital groove.
Main Results:
- The all-arthroscopic, intra-articular biceps tenodesis technique offers several previously undescribed advantages.
- This method does not significantly increase morbidity when performed alongside rotator cuff surgery or other shoulder pain treatments.
- Intra-articular LHBT tenodesis in the bicipital groove resulted in reduced surgical time.
- A decreased bone footprint was observed with this intra-articular tenodesis approach.
Conclusions:
- All-arthroscopic, intra-articular biceps tenodesis is a viable and advantageous technique for managing long head of the biceps tendon pathology.
- This procedure can be safely integrated into arthroscopic shoulder surgery without substantial added morbidity.
- The technique offers benefits including reduced operative time and a smaller bone footprint, making it an efficient option for shoulder pain management.
