Arthroscopic High-in-the-Groove Biceps Tenodesis: Loop-and-Tack Technique

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Arthroscopy

Background:

• Long head of the biceps tendon pathology is a common cause of shoulder pain.
• Arthroscopic biceps tenodesis is an established treatment option.
• Existing techniques may involve risks of iatrogenic injury and complex instrument use.

Purpose of the Study:

• To describe a novel, single-cannula arthroscopic technique for biceps tenodesis.
• To detail a "high-in-the-groove" fixation method using loop-and-tack.
• To highlight the safety, efficacy, and cost-effectiveness of this technique.

Main Methods:

• Arthroscopic "high-in-the-groove" biceps tenodesis.
• Loop-and-tack fixation utilizing a spinal needle for the "tack" component.
• Single-cannula approach to minimize instrument use and iatrogenic injury.

Main Results:

• The technique successfully achieves biceps tenodesis.
• Use of a spinal needle minimizes risk of sharp instrument injury.
• Preservation of biceps tendon tension is facilitated by maintaining anchor integrity.
• Reduced need for additional cannulas and disposable instruments.

Conclusions:

• This arthroscopic loop-and-tack technique offers a safe and effective method for biceps tenodesis.
• The technique may reduce the risk of complications and lower procedural costs.
• It provides a valuable alternative for managing long head of the biceps tendon pathology.