All-Arthroscopic Suprapectoral Biceps Tenodesis With Knotless Unicortical Locking Button Technique

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• Tenodesis of the long head of the biceps tendon is a standard procedure for proximal biceps and glenohumeral pathology.
• Various tenodesis sites and fixation implants exist, yielding similar outcomes.
• All-arthroscopic approaches offer advantages like versatility and reduced incisions.

Purpose of the Study:

• To describe an all-arthroscopic suprapectoral biceps tenodesis technique.
• To present a method utilizing a knotless locking button for fixation.
• To offer an efficient technique for managing biceps-related shoulder pain.

Main Methods:

• An all-arthroscopic suprapectoral approach was employed.
• A knotless locking button was used for implant fixation.
• The technique focused on an onlay fixation to preserve tendon length-tension relationship.

Main Results:

• The described technique allows for all-arthroscopic suprapectoral biceps tenodesis.
• Utilizes a knotless locking button for secure and efficient fixation.
• Maintains the length-tension relationship of the proximal biceps tendon.

Conclusions:

• All-arthroscopic suprapectoral biceps tenodesis is a viable and efficient surgical option.
• The knotless locking button facilitates a simple and effective fixation.
• This technique addresses proximal biceps pathology while preserving functional anatomy.