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Fast Arthroscopic Biceps Tenodesis Without Penetrating Grasper.
Giovanni Tiso D'Orazio1, Iñaki Mediavilla Arza2, César Hernández Arellano3
1Alai Sports Medicine Clinic, Madrid, Spain.
Arthroscopy Techniques
|February 23, 2023
Summary
Biceps tenodesis surgery offers superior outcomes for young athletes with shoulder pain compared to tenotomy. This arthroscopic technique provides stable, fast fixation using an all-suture anchor directly through the tendon.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- Long head of the biceps pathology frequently causes shoulder pain and dysfunction.
- Surgical options include tenotomy (tendon cutting) and tenodesis (tendon reattachment).
Purpose of the Study:
- To present a specific arthroscopic technique for biceps tenodesis.
- To highlight the benefits of tenodesis over tenotomy, particularly in young, active individuals.
Main Methods:
- Arthroscopic surgical procedure for biceps tenodesis.
- Utilizing an all-suture anchor passed directly through the biceps tendon.
- Fixation of the tendon within the bicipital groove without penetrating graspers.
Main Results:
- The described technique provides stable and rapid fixation of the biceps tendon.
- Systematic reviews suggest tenodesis yields better clinical and functional results than tenotomy in young patients and athletes.
Conclusions:
- Arthroscopic biceps tenodesis is a favorable surgical option for managing long head of the biceps pathology.
- The presented all-suture anchor technique offers an effective method for stable and fast tendon fixation.
