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The Saber Technique for Biceps Tenotomy.

Joseph J Ruzbarsky1, Daniel Haber1, Justin W Arner1

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Area of Science:

  • Orthopedic Surgery
  • Shoulder Arthroscopy
  • Biceps Tendon Pathology

Background:

  • Long head of the biceps (LHB) pathology frequently causes shoulder pain.
  • Arthroscopic tenotomy and tenodesis are increasingly common treatments for LHB issues.
  • Anterior rotator interval portal may be unnecessary and harmful for isolated LHB pathology.

Purpose of the Study:

  • To describe a minimally invasive technique for LHB tenotomy.
  • To perform LHB tenotomy at the supraglenoid tubercle.
  • To avoid establishing an accessory portal during the procedure.

Main Methods:

  • Minimally invasive arthroscopic technique.
  • Targeted LHB tenotomy at the supraglenoid tubercle.
  • Elimination of the need for an anterior rotator interval portal.

Main Results:

  • Successful LHB tenotomy without an accessory portal.
  • Demonstration of a simplified surgical approach.
  • Reduction in operative steps and potential complications.

Conclusions:

  • The described technique offers a safe and effective alternative for isolated LHB tenotomy.
  • Avoiding the anterior rotator interval portal simplifies the arthroscopic procedure.
  • This approach is beneficial when LHB pathology is the sole indication for surgery.