All-Arthroscopic Falciform Portal Biceps Tenodesis

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Arthroscopy

Background:

• Biceps tenodesis is a key treatment for proximal biceps tendon and superior labral issues.
• Open and arthroscopic techniques exist, each with distinct advantages and disadvantages.
• Open methods allow full proximal tendon management but risk complications like bleeding and prolonged healing.
• Arthroscopic tenodesis offers cosmetic and efficiency benefits but typically addresses only intra-articular pathology.

Purpose of the Study:

• To describe a novel all-arthroscopic technique for biceps tenodesis.
• To perform the tenodesis in the suprapectoral region of the humerus.
• To utilize knotless suture anchor fixation for enhanced surgical outcomes.

Main Methods:

• An all-arthroscopic approach was employed for the biceps tenodesis procedure.
• The tenodesis was performed at the suprapectoral site on the humerus.
• Knotless suture anchors were utilized for fixation, simplifying the procedure.

Main Results:

• The described technique allows for all-arthroscopic management of biceps tendon pathology.
• Suprapectoral fixation offers an alternative to traditional intra-articular arthroscopic tenodesis.
• Knotless anchors facilitate efficient and secure fixation.

Conclusions:

• This all-arthroscopic suprapectoral biceps tenodesis is a viable alternative for treating relevant shoulder pathologies.
• The technique combines the benefits of arthroscopy with effective management of proximal biceps issues.
• Further studies should evaluate long-term outcomes and compare this technique to existing methods.