Arthroscopic Double-Cinch Double-Cerclage Technique for Proximal Biceps Tenodesis

Area of Science:

• Orthopedic Surgery
• Shoulder Arthroscopy
• Biceps Tendon Pathology

Background:

• Pathologies of the long head of the biceps tendon are a common cause of shoulder pain and functional impairment.
• Biceps tenodesis is a surgical procedure to manage these pathologies, with various techniques and fixation methods available.
• Existing arthroscopic techniques may have limitations in fixation strength or applicability.

Purpose of the Study:

• To introduce a novel arthroscopic technique for proximal biceps tenodesis.
• To describe a unique suture construct for enhanced fixation at the bicipital groove.
• To evaluate the potential advantages, including fixation strength, complication rates, and reproducibility, compared to existing methods.

Main Methods:

• An arthroscopic technique for proximal biceps tenodesis is detailed.
• The technique utilizes a novel construct involving circumferential and trans-tendon suture passing.
• The procedure is performed at the bicipital groove.

Main Results:

• The described technique potentially offers enhanced fixation strength and resistance.
• It may lead to fewer complications compared to open subpectoral tenodesis.
• The technique is demonstrated to be reproducible and suitable for surgeons with varying experience levels.

Conclusions:

• This arthroscopic proximal biceps tenodesis technique provides a viable alternative for managing long head of biceps pathologies.
• The novel suture construct may improve fixation outcomes.
• Its reproducibility and ease of application enhance its clinical utility, particularly for less experienced surgeons.