Subpectoral Biceps Tenodesis Using an All-Suture Anchor.

Area of Science:

• Orthopedic Surgery
• Shoulder Arthroscopy
• Sports Medicine

Background:

• The long head of the biceps tendon (LHBT) is a common intra-articular shoulder pain source.
• Nonoperative treatments are suitable for mild LHBT pathology, but surgical options like tenotomy and tenodesis are debated for severe cases.
• Open subpectoral biceps tenodesis offers pathologic tissue removal and utilizes all-suture anchor fixation to minimize risks like stress risers and fractures.

Purpose of the Study:

• To present a case of open subpectoral biceps tenodesis for recalcitrant shoulder pain.
• To detail the surgical technique, including incision placement, fixation methods, and tensioning of the LHBT.
• To review outcomes, postoperative care, and rehabilitation following the procedure.

Main Methods:

• The study focuses on the open subpectoral biceps tenodesis component of a larger shoulder surgery.
• Key techniques highlighted include precise skin incision in the axillary crease, skin tensioning, and a locking lasso loop with double luggage tag fixation using an all-suture anchor.
• The procedure was performed on a male patient with persistent left anterolateral shoulder pain unresponsive to conservative management.

Main Results:

• Open subpectoral biceps tenodesis is associated with reduced shoulder pain.
• The procedure demonstrates a low rate of complications.
• High patient satisfaction rates are reported following this surgical intervention.

Conclusions:

• Open subpectoral biceps tenodesis is an effective surgical option for managing long head of the biceps tendon pathology.
• The technique, when performed with attention to incision details and secure fixation, can yield favorable patient outcomes.
• This approach offers a viable solution for patients with persistent shoulder pain refractory to conservative treatments.