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Percutaneous Biceps Tenodesis Using Needle Arthroscopy and Regional Anesthesia: The Infinity Technique.
Matthew Daggett1, Kevin Witte1, Michael Dempewolf1
1Sano Orthopedics, Overland Park, Kansas, U.S.A.
Arthroscopy Techniques
|June 23, 2025
Summary
This study presents a minimally invasive percutaneous biceps tenodesis technique for shoulder pain relief. This arthroscopic approach offers a viable alternative to tenotomy, improving function and reducing complications associated with biceps tendinopathy.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- Biceps tendinopathy is a common cause of shoulder pain and limited arm function.
- Biceps tenodesis effectively relieves pain and improves function compared to tenotomy.
- Arthroscopic tenodesis is increasingly favored due to small incisions and low complication rates.
Purpose of the Study:
- To describe a novel percutaneous biceps tenodesis technique.
- To detail the use of needle arthroscopic instrumentation.
- To highlight the application under regional anesthesia.
Main Methods:
- Percutaneous approach utilizing needle arthroscopic instruments.
- Securing the long head of the biceps tendon to the proximal humerus.
- Procedure performed under regional anesthesia.
Main Results:
- The described technique facilitates arthroscopic biceps tenodesis.
- Minimally invasive approach potentially reduces patient recovery time.
- Regional anesthesia offers an alternative anesthetic option.
Conclusions:
- Percutaneous needle arthroscopic biceps tenodesis is a feasible technique.
- This method addresses shoulder pain and functional limitations effectively.
- Advancements in arthroscopic tools enable less invasive surgical options.
