Subpectoral Biceps Tenodesis: All-Suture Anchor Onlay Technique

Area of Science:

• Orthopedic Surgery
• Shoulder Arthroscopy
• Sports Medicine

Background:

• The long head of the biceps tendon is a frequent cause of anterior shoulder pain, often coexisting with SLAP lesions, rotator cuff tears, and subacromial impingement.
• While both tenotomy and tenodesis effectively manage biceps tendon pain, tenodesis is associated with fewer issues like decreased muscle function and cosmetic concerns compared to tenotomy.

Purpose of the Study:

• To describe a preferred operative technique for mini-open subpectoral biceps tenodesis.
• To detail an onlay technique utilizing all-suture anchor fixation for enhanced biceps tendon repair.

Main Methods:

• The technique involves a mini-open approach for subpectoral biceps tenodesis.
• An onlay fixation strategy is employed using all-suture anchors for secure tendon reattachment.
• This method aims to release the tendon from its sheath and bicipital groove to alleviate pain.

Main Results:

• Subpectoral biceps tenodesis demonstrates lower reoperation rates compared to suprapectoral approaches.
• The described technique facilitates robust fixation and aims to preserve muscle function.
• This approach addresses pain stemming from the long head of the biceps tendon effectively.

Conclusions:

• Mini-open subpectoral biceps tenodesis is an effective surgical option for managing long head of the biceps tendon pathologies.
• The onlay technique with all-suture anchors provides a reliable method for biceps tenodesis.
• This surgical approach offers a favorable alternative to tenotomy, minimizing functional and cosmetic drawbacks.