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Transosseous Suture-Based Arthroscopic Suprapectoral Biceps Tenodesis
1Center for Sports Medicine and Orthopaedics, Chattanooga, Tennessee, U.S.A.
Arthroscopy Techniques
|July 28, 2020
Summary
This study presents a simple, fast arthroscopic biceps tenodesis technique. It uses a transosseous method in the suprapectoral location, avoiding implants and axillary incisions for better shoulder pain relief.
Area of Science:
- Orthopedic Surgery
- Shoulder Arthroscopy
- Sports Medicine
Background:
- Biceps tenodesis effectively treats shoulder pain and dysfunction.
- Various tenodesis methods and locations exist with comparable outcomes.
- Transosseous fixation is a long-standing, reliable tendon repair technique.
Purpose of the Study:
- To describe a novel arthroscopic transosseous biceps tenodesis technique.
- To highlight the benefits of the suprapectoral location for biceps tenodesis.
- To present a technically simple and cost-effective surgical option.
Main Methods:
- Arthroscopic suprapectoral biceps tenodesis using a transosseous fixation technique.
- Focus on anatomical landmarks for accurate tendon length and tension restoration.
- Release of the biceps sheath to potentially alleviate pain.
Main Results:
- The described technique is technically simple and rapid.
- Eliminates the need for costly surgical implants.
- Avoids axillary incisions, reducing risks of dehiscence or infection.
- Facilitates easy recapitulation of the biceps length-tension relationship.
Conclusions:
- Arthroscopic transosseous biceps tenodesis in the suprapectoral location offers a safe, efficient, and cost-effective surgical solution.
- This technique may improve patient outcomes by addressing pain generators and optimizing biceps mechanics.
- It provides a viable alternative to other tenodesis methods, particularly by avoiding implant costs and potential wound complications.
