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Arthroscopic Suprapectoral Biceps Tenodesis Using an Onlay Technique.
Kenneth Cutbush1,2,3,4, Kathir Azhagan Stalin2, Helen Ingoe1
1Queensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Arthroscopy Techniques
|January 9, 2025
Summary
Arthroscopic tenodesis of the long head of biceps offers a low-infection risk surgical option. This all-arthroscopic onlay technique provides effective biceps tendon fixation, addressing hidden groove lesions and reducing pain.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- Tenodesis of the long head of the biceps is a frequent shoulder surgery.
- Procedures can be open or arthroscopic, with fixation in various locations.
- Arthroscopic approaches minimize infection risk and can reveal intra-groove pathology.
Purpose of the Study:
- To describe an all-arthroscopic onlay technique for biceps tenodesis.
- To detail fixation in an extra-articular position within the bicipital groove.
- To address potential complications like over-tensioning and hidden lesions.
Main Methods:
- An all-arthroscopic onlay technique for biceps tendon fixation.
- Extra-articular placement within the bicipital groove, superior to the pectoralis major insertion.
- Utilized standard arthroscopic instruments and a single knotless suture anchor.
Main Results:
- The described technique allows for effective biceps tendon fixation using minimally invasive arthroscopic methods.
- Addresses pathology within the bicipital groove, such as synovitis or partial tears.
- Offers a solution for pain related to tenodesis over-tensioning.
Conclusions:
- This all-arthroscopic onlay technique provides a viable option for biceps tenodesis.
- It effectively manages intra-articular and groove-related pathologies.
- The method uses standard equipment and a knotless anchor for secure fixation.
