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Updated: Sep 22, 2025

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair

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Arthroscopic biceps tenodesis using the knotless lasso technique.

Kevin Parvaresh¹, Amar S Vadhera², William Cregar²

¹Division of Sports Medicine, Orthopaedic Specialty Institute, Medical Group of Orange County, Orange, CA, USA.

Journal of ISAKOS : Joint Disorders & Orthopaedic Sports Medicine

|May 25, 2022

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This study introduces a new arthroscopic technique for biceps tenodesis using knotless anchors. This efficient, low-profile method offers circumferential fixation for long head biceps pathology, improving outcomes.

Area of Science:

Orthopedic Surgery
Arthroscopy
Shoulder Anatomy

Background:

Long head biceps tendinopathy causes significant anterior shoulder pain.
Biceps tenodesis is a standard treatment for biceps pathology.
Existing arthroscopic techniques may have limitations in fixation and profile.

Discussion:

A novel arthroscopic onlay technique for biceps tenodesis is presented.
This technique utilizes a lasso configuration with two knotless suture anchors.
It aims to provide efficient, low-profile, circumferential fixation.

Key Insights:

The technique is indicated for severe tendinosis, SLAP tears, instability, and tears.
It involves standard arthroscopic portals plus an anterolateral working portal.

Keywords:

Arthroscopy Biceps tenodesis Knotless Shoulder

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Advantages include a knotless construct, efficient passage, and two-point fixation.

Outlook:

This method offers a low-profile, knotless solution for biceps tenodesis.
Maintaining anatomic biceps tension is crucial for optimal results.
Further studies may evaluate long-term outcomes and comparisons with other techniques.