Mini-Open Subpectoral Biceps Tenodesis Using a Suture Anchor with Bone-Bridge Backup.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• Long head of the biceps tendon pathology is a common source of anterior shoulder pain.
• Current surgical options like tenotomy and tenodesis have limitations.
• Arthroscopic tenodesis may not adequately address pathology within the bicipital groove, while open tenodesis carries risks.

Purpose of the Study:

• To describe a novel mini-open subpectoral approach for biceps tenodesis.
• To present a technique utilizing dual fixation with a suture anchor and bone bridge backup.
• To offer a potentially safer and more robust alternative for managing long head of biceps tendon pathology.

Main Methods:

• A mini-open subpectoral approach was employed for biceps tenodesis.
• Dual fixation was achieved using a suture anchor combined with a bone bridge backup.
• This technique aims to reduce the drill hole diameter compared to interference screw fixation.

Main Results:

• The described technique utilizes a suture anchor, minimizing the need for a large drill hole and reducing the risk of iatrogenic humeral fracture.
• Dual fixation provides enhanced stability for the tenodesis.
• This approach may be particularly beneficial for athletic patients seeking faster rehabilitation.

Conclusions:

• The mini-open subpectoral biceps tenodesis with dual fixation offers a viable alternative for treating long head of biceps tendon pathology.
• This technique potentially mitigates risks associated with traditional open and arthroscopic methods.
• It may facilitate accelerated recovery for active individuals with shoulder pain.