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Arthroscopic Biceps Tenodesis by Bicortical Drilling Technique.
Bancha Chernchujit1, Sumit Agrawal1, Arrisna Artha1
1Department of Orthopaedics, Faculty of Medicine, Thammasat University Hospital, Pathumthani, Thailand.
Arthroscopy Techniques
|May 13, 2021
Summary
Shoulder pain from the long head of the biceps tendon can be debilitating. Arthroscopic biceps tenodesis using a bicortical drilling technique offers a safe and effective surgical option for patients experiencing this pain.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Shoulder arthroscopy
Background:
- Long head of biceps tendon pain can lead to significant shoulder disability.
- Biceps tenodesis is a common surgical solution for active patients with this condition.
- Various surgical techniques exist for biceps tenodesis.
Purpose of the Study:
- To describe a novel technique for arthroscopic biceps tenodesis.
- To detail the bicortical drilling method for tendon fixation in the bicipital groove.
Main Methods:
- Arthroscopic visualization of the shoulder.
- Bicortical drilling of the bicipital groove with a single guide wire breach.
- Fixation of the biceps tendon using a PopLok anchor.
Main Results:
- The described technique allows for secure tendon fixation.
- The method is reported as safe and easy to perform.
- A learning curve is associated with this technique.
Conclusions:
- Arthroscopic biceps tenodesis via bicortical drilling is a viable surgical option.
- This technique provides a reproducible method for managing long head of biceps tendon pathology.
- Further experience may refine the ease and efficiency of the procedure.
