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Arthroscopic Biceps to Subscapularis Tenodesis: A Surgical Technique
Michael J Niemann1, William C Brooks1, Jonathan A Ghobrial2
1Department of Orthopaedics.
Techniques in Hand & Upper Extremity Surgery
|April 16, 2021
Summary
This study introduces a straightforward arthroscopic technique for biceps tenodesis using the subscapularis tendon as an anchor. This method is efficient, simple, and cost-effective, avoiding the need for specialized equipment.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- Multiple techniques exist for biceps tenodesis.
- No single method is universally favored in current literature.
- Need for simpler, cost-effective arthroscopic solutions.
Purpose of the Study:
- To present a novel, simple arthroscopic soft tissue biceps tenodesis technique.
- To utilize the subscapularis tendon as a biological anchor.
- To offer a time-efficient and technically straightforward surgical option.
Main Methods:
- A 5-step arthroscopic technique for biceps tenodesis.
- Utilizes the patient's own subscapularis tendon for fixation.
- Soft tissue to soft tissue approximation.
Main Results:
- The described technique is time-efficient.
- The procedure is technically simple to perform.
- It is cost-effective and avoids specialized implants or powered instruments.
Conclusions:
- This arthroscopic biceps tenodesis method offers a practical alternative.
- Subscapularis tendon anchoring provides a viable fixation point.
- The technique simplifies the surgical management of biceps tendon pathology.

