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Related Concept Videos

Muscles that Move the Arm01:31

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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
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Related Experiment Video

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Reverse Total Shoulder Arthroplasty
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All Arthroscopic Suprapectoral Biceps Tenodesis.

Joseph A S McCahon1, Mohamed F Albana2, Patrick F Szukics1

  • 1Department of Orthopaedic Surgery, Jefferson Health-New Jersey, Stratford, New Jersey, USA.

Video Journal of Sports Medicine
|May 1, 2025
PubMed
Summary

This study introduces an all-arthroscopic subgroove biceps tenodesis technique using a unicortical button, offering a viable alternative to open surgery for long head of the biceps tendon (LHBT) issues. This method aims to reduce complications and improve patient outcomes.

Keywords:
SLAP teararthroscopybiceps tenodesisbiceps tenotomybicortical buttonsuprapectoral biceps tenodesisunicortical button

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Arthroscopy

Background:

  • Biceps tendinopathy often requires surgical intervention when conservative treatments fail.
  • Tenotomy and tenodesis are common surgical options for long head of the biceps tendon (LHBT) tendinopathy.
  • Tenodesis offers advantages over tenotomy for LHBT conditions.

Purpose of the Study:

  • To present an all-arthroscopic technique for subgroove biceps tenodesis.
  • To utilize a unicortical tensionable button for LHBT fixation.
  • To minimize surgical exposure and potential complications associated with traditional open procedures.

Main Methods:

  • An all-arthroscopic subgroove biceps tenodesis technique was developed.
  • A novel suprapectoral biceps portal (Willingboro portal) was created.
  • Onlay fixation of the LHBT was performed proximally to the pectoralis major insertion using a unicortical button.

Main Results:

  • The unicortical button construct demonstrates comparable load to failure strength to bicortical buttons.
  • This strength exceeds that of other described fixation constructs.
  • The technique avoids open axillary incisions and potential bicipital groove pain.

Conclusions:

  • All-arthroscopic subgroove biceps tenodesis with a unicortical button is a feasible surgical option.
  • This technique mitigates complications of open surgery and persistent groove pain.
  • Preserving tendon length through early anchoring may improve patient-reported outcomes, warranting further long-term studies.