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Single-Portal Proximal Biceps Tenodesis Using an All-Suture Anchor
Malte Holschen1, Benjamin Bockmann2, Tobias L Schulte2
1Orthopedic Practice Clinic (OPPK), Münster.
Arthroscopy Techniques
|May 2, 2022
Summary
Shoulder pain from the long head of the biceps tendon often requires surgical treatment. Biceps tenodesis, a procedure to reattach the biceps tendon, offers better outcomes than tenotomy, preserving muscle function and appearance.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- The long head of the biceps tendon is a common source of shoulder pain.
- Pathologies include SLAP lesions, pulley injuries, tears, and tendonitis.
- Surgical intervention like tenotomy or tenodesis is often necessary during shoulder arthroscopy.
Purpose of the Study:
- To present a novel single-portal technique for proximal biceps tenodesis.
- To describe the use of an all-suture anchor for biceps tenodesis in the bicipital groove.
Main Methods:
- A single-portal arthroscopic approach was utilized.
- An all-suture anchor was employed for the tenodesis procedure.
- The technique focused on proximal biceps tenodesis within the bicipital groove.
Main Results:
- The described technique facilitates biceps tenodesis through a single portal.
- This method aims to preserve biceps muscle tension, anatomy, and cosmesis.
- It offers an alternative to tenotomy, potentially reducing persistent pain and revision rates.
Conclusions:
- Proximal biceps tenodesis using a single-portal, all-suture anchor technique is feasible.
- This approach may provide superior functional and cosmetic outcomes compared to tenotomy.
- It represents a valuable option for managing long head of biceps pathologies during shoulder arthroscopy.
