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Related Concept Videos

Muscles of the Shoulder01:23

Muscles of the Shoulder

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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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

Updated: Jan 18, 2026

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
07:22

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft

Published on: June 6, 2025

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Arthroscopic Acromioclavicular Joint Stabilization Using Autologous Biceps for Horizontal Neutralization (AutoBAHN)

Markus Scheibel1,2, Tobias Gruber1,3, Irina Todiraş1

  • 1Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland.

Arthroscopy Techniques
|January 16, 2026
PubMed
Summary

This study introduces a novel arthroscopic technique for acromioclavicular joint (ACJ) instability using the patient's own long head of biceps tendon. This method offers a robust, local solution, avoiding donor site issues and improving stabilization.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanical Engineering

Background:

  • Chronic acromioclavicular joint (ACJ) instability often requires surgical intervention.
  • Current methods like allografts and autografts have drawbacks including donor site morbidity and graft failure.
  • There is a need for effective, local graft options for ACJ stabilization.

Purpose of the Study:

  • To present a novel arthroscopically assisted technique for ACJ stabilization.
  • To describe the use of an autologous, rerouted long head of the biceps (LHB) tendon transfer.
  • To evaluate this technique for symptomatic bidirectional ACJ instability.

Main Methods:

  • A technique involving arthroscopic ACJ stabilization using a rerouted LHB tendon transfer is detailed.
  • The LHB tendon is tenodesed, tenotomized, rerouted transarticularly, and secured with an interference screw.
  • A suture button pulley construct augments the stabilization, providing horizontal stability.

Main Results:

  • The described technique utilizes an autologous LHB tendon for ACJ stabilization.
  • This method avoids donor site morbidity associated with traditional autografts.
  • The technique provides both vertical and horizontal stabilization for the ACJ.

Conclusions:

  • The autologous biceps tendon transfer is a robust, cost-effective graft option for ACJ instability.
  • This technique preserves the LHB tendon's origin and avoids donor site complications.
  • It offers a viable alternative for treating symptomatic bidirectional ACJ instability.