Arthroscopic In Situ Biceps Tenodesis Using a Double Loop-and-Tack Knotless Suture Anchor

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• Anterior shoulder pain is frequently caused by long head biceps tendon pathology.
• Surgical options include tenotomy or tenodesis, with various tenodesis techniques available.
• Existing methods often aim to approximate the biceps tendon after release.

Purpose of the Study:

• To describe a novel arthroscopic technique for long head biceps tenodesis.
• To utilize two loop-and-tack sutures and a knotless suture anchor for fixation.
• To maintain the native position of the biceps tendon within the proximal bicipital groove.

Main Methods:

• Arthroscopic tenodesis of the long head biceps tendon.
• Fixation using two loop-and-tack sutures and a knotless suture anchor.
• Release of the transverse humeral ligament for bicipital groove decompression.
• Tenodesis is performed prior to tenotomy to maintain native position.

Main Results:

• The described technique allows for arthroscopic tenodesis of the long head biceps tendon.
• It facilitates in situ fixation within the proximal bicipital groove.
• The method preserves the native position of the biceps tendon.

Conclusions:

• This arthroscopic technique offers a method for long head biceps tenodesis.
• It effectively maintains the native position of the biceps tendon.
• The technique is suitable for isolated biceps pathology or combined shoulder procedures.