Arthroscopic Suprapectoral Biceps Tenodesis Using Standard Portals

Area of Science:

• Orthopedic Surgery
• Shoulder Arthroscopy
• Sports Medicine

Background:

• The long head of the biceps (LHB) tendon is a frequent source of shoulder pain.
• Biceps tenodesis is a common surgical procedure for addressing LHB tendon and superior labrum issues, aiming to alleviate pain and restore shoulder function.
• Current literature lacks consensus on the optimal technique and approach for superior outcomes in biceps tenodesis.

Purpose of the Study:

• To present a novel, simplified arthroscopic suprapectoral approach for biceps tenodesis.
• To describe a technique utilizing standard arthroscopic portals for LHB tendon release and suture anchor fixation.
• To aim for maximized patient outcomes and minimized complications associated with biceps tenodesis.

Main Methods:

• An arthroscopic suprapectoral approach was utilized.
• The long head of the biceps tendon was released from the bicipital groove.
• Fixation was achieved using a suture anchor through standard arthroscopic portals.

Main Results:

• The described technique simplifies the surgical procedure for biceps tenodesis.
• This approach facilitates performance through standard arthroscopic portals.
• The technique is designed to enhance outcomes and mitigate common complications.

Conclusions:

• The presented arthroscopic suprapectoral biceps tenodesis technique offers a simplified and effective method for managing LHB tendon pathology.
• This approach has the potential to improve patient outcomes and reduce the incidence of complications.
• Further studies may be warranted to compare this technique with other established methods.