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Arthroscopic shoulder anchorless biceps tenodesis: a novel intracapsular technique
Evans Few1, Michael Mullen1, Magnolia Livingston2
1Ochsner-Andrews Sports Medicine Institute, New Orleans, LA, USA; Department of Orthopedic Surgery, Ochsner Clinic Foundation, New Orleans, LA, USA.
Summary
This study introduces a new arthroscopic technique for biceps tenodesis, minimizing implants and costs. It offers an efficient, stable, and cost-effective solution for shoulder pain caused by the long head of the biceps tendon.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopic Techniques
Background:
- Pathology of the long head of the biceps tendon (LHBT) is a frequent cause of anterior shoulder pain.
- Existing biceps tenodesis methods often involve costly implants and potential fixation complications.
Purpose of the Study:
- To describe a novel, implant-minimizing arthroscopic intracapsular soft-tissue biceps tenodesis technique.
- To emphasize efficiency, reproducibility, and cost-effectiveness in LHBT management.
Main Methods:
- A percutaneous spinal needle approach is used to pierce the LHBT.
- Sutures are passed and retrieved arthroscopically, with a sliding knot tied blindly.
- The biceps tendon is secured to the capsule in the rotator interval, avoiding humeral drilling or interference screws.
Main Results:
- The described technique achieves stable fixation of the LHBT.
- It preserves the native length-tension relationship of the biceps tendon.
- The method is efficient and avoids implant-related complications.
Conclusions:
- This novel arthroscopic technique offers an efficient, cost-effective option for biceps tenodesis.
- It is particularly suitable for concurrent shoulder procedures.
- Further comparative studies with larger cohorts and longer follow-up are recommended.