"Triple-Fix" Arthroscopic Biceps Tenodesis: Indications and Technique

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• Long head of the bicep tendon pathology is a frequent cause of anterior shoulder pain.
• Surgical options include tenodesis and tenotomy, with tenodesis often preferred for younger, active individuals prioritizing cosmesis and function.
• Traditional arthroscopic tenodesis can be technically challenging, requiring extra-articular identification of the tendon.

Purpose of the Study:

• To describe a reproducible arthroscopic surgical technique for secure and anatomic tenodesis of the long head of the bicep tendon.
• To address the technical challenges and potential failure modes associated with traditional arthroscopic tenodesis.

Main Methods:

• Description of a specific arthroscopic surgical technique for biceps tenodesis.
• The technique has been routinely employed for approximately 8 years by the senior author.
• Focuses on accurate and reproducible exposure of the biceps tendon within the bicipital groove.

Main Results:

• The described technique allows for secure, anatomic tenodesis of the long head of the bicep tendon.
• Provides accurate and reproducible exposure of the biceps tendon within the bicipital groove.
• Implies a reduction in failure rates compared to traditional methods due to secure fixation.

Conclusions:

• The presented arthroscopic technique offers a reliable method for performing biceps tenodesis.
• This approach enhances security and anatomical fixation, potentially improving outcomes and reducing complications.
• It provides a valuable alternative for surgeons treating long head of the bicep tendon pathology.