Partial Articular Supraspinatus Tendon Avulsion Repair and Patch: A Technical Note for Augmenting the Supraspinatus Reinsertion with the Long Head of the Biceps Tendon
Background There is no clear consensus on the treatment of partial articular‐sided supraspinatus tendon avulsions. Debridement alone might not be sufficient to prevent further tendon degradation or alleviate patient complaints. Direct repair using a suture anchor without treating the concomitant con...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-08-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13856 |
| _version_ | 1797742148125196288 |
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| author | George Mihai Avram Diana Cosmina Neculau Bogdan Obada Maria Victoria Pomenta Bastidas Dragos Popescu Markas Fiodorovas Ion‐Andrei Popescu |
| author_facet | George Mihai Avram Diana Cosmina Neculau Bogdan Obada Maria Victoria Pomenta Bastidas Dragos Popescu Markas Fiodorovas Ion‐Andrei Popescu |
| author_sort | George Mihai Avram |
| collection | DOAJ |
| description | Background There is no clear consensus on the treatment of partial articular‐sided supraspinatus tendon avulsions. Debridement alone might not be sufficient to prevent further tendon degradation or alleviate patient complaints. Direct repair using a suture anchor without treating the concomitant conditions of the long head of the biceps tendon might come with residual anterior shoulder pain or even further loss of function in cases of failed repair. The purpose of the present study is to describe an arthroscopic technique by which the long head of the biceps tendon can be included in the partial articular‐sided supraspinatus tendon avulsion repair. Technique Presentation with video In this technical note we describe the arthroscopic repair and augmentation with tenotomized biceps of partial supraspinatus tendon tears to address three main concepts for successful rotator cuff repairs, namely rotator cuff biologic augmentation, tendon to bone healing and postoperative pain prevention. Conclusion The biceps tendon is a mechanically robust, locally available autograft that can be used in borderline partial articular‐sided supraspinatus tendon avulsions in order to biologically augment healing at the tendon‐bone interface without any immunogenic reactions or morbidity following harvesting. |
| first_indexed | 2024-03-12T14:36:49Z |
| format | Article |
| id | doaj.art-08df28a3c3f84ad8931f7a41aeb93d0d |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-03-12T14:36:49Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-08df28a3c3f84ad8931f7a41aeb93d0d2023-08-17T03:22:41ZengWileyOrthopaedic Surgery1757-78531757-78612023-08-011582174218010.1111/os.13856Partial Articular Supraspinatus Tendon Avulsion Repair and Patch: A Technical Note for Augmenting the Supraspinatus Reinsertion with the Long Head of the Biceps TendonGeorge Mihai Avram0Diana Cosmina Neculau1Bogdan Obada2Maria Victoria Pomenta Bastidas3Dragos Popescu4Markas Fiodorovas5Ion‐Andrei Popescu6Romanian Shoulder Institute ORTOPEDICUM—Orthopaedic Surgery & Sports Clinic Bucharest RomaniaRomanian Shoulder Institute ORTOPEDICUM—Orthopaedic Surgery & Sports Clinic Bucharest RomaniaOrthopaedic Traumatology Department Emergency Clinical County Hospital Constanta RomaniaArthroscopy Unit Hospital General Cataluña Barcelona SpainRomanian Shoulder Institute ORTOPEDICUM—Orthopaedic Surgery & Sports Clinic Bucharest RomaniaNorthway Medical Center Klaipeda LithuaniaRomanian Shoulder Institute ORTOPEDICUM—Orthopaedic Surgery & Sports Clinic Bucharest RomaniaBackground There is no clear consensus on the treatment of partial articular‐sided supraspinatus tendon avulsions. Debridement alone might not be sufficient to prevent further tendon degradation or alleviate patient complaints. Direct repair using a suture anchor without treating the concomitant conditions of the long head of the biceps tendon might come with residual anterior shoulder pain or even further loss of function in cases of failed repair. The purpose of the present study is to describe an arthroscopic technique by which the long head of the biceps tendon can be included in the partial articular‐sided supraspinatus tendon avulsion repair. Technique Presentation with video In this technical note we describe the arthroscopic repair and augmentation with tenotomized biceps of partial supraspinatus tendon tears to address three main concepts for successful rotator cuff repairs, namely rotator cuff biologic augmentation, tendon to bone healing and postoperative pain prevention. Conclusion The biceps tendon is a mechanically robust, locally available autograft that can be used in borderline partial articular‐sided supraspinatus tendon avulsions in order to biologically augment healing at the tendon‐bone interface without any immunogenic reactions or morbidity following harvesting.https://doi.org/10.1111/os.13856Biceps incorporationBiologic tendon augmentationLong head of the biceps tendonPartial articular sided supraspinatus tendon avulsionPASTA repair |
| spellingShingle | George Mihai Avram Diana Cosmina Neculau Bogdan Obada Maria Victoria Pomenta Bastidas Dragos Popescu Markas Fiodorovas Ion‐Andrei Popescu Partial Articular Supraspinatus Tendon Avulsion Repair and Patch: A Technical Note for Augmenting the Supraspinatus Reinsertion with the Long Head of the Biceps Tendon Orthopaedic Surgery Biceps incorporation Biologic tendon augmentation Long head of the biceps tendon Partial articular sided supraspinatus tendon avulsion PASTA repair |
| title | Partial Articular Supraspinatus Tendon Avulsion Repair and Patch: A Technical Note for Augmenting the Supraspinatus Reinsertion with the Long Head of the Biceps Tendon |
| title_full | Partial Articular Supraspinatus Tendon Avulsion Repair and Patch: A Technical Note for Augmenting the Supraspinatus Reinsertion with the Long Head of the Biceps Tendon |
| title_fullStr | Partial Articular Supraspinatus Tendon Avulsion Repair and Patch: A Technical Note for Augmenting the Supraspinatus Reinsertion with the Long Head of the Biceps Tendon |
| title_full_unstemmed | Partial Articular Supraspinatus Tendon Avulsion Repair and Patch: A Technical Note for Augmenting the Supraspinatus Reinsertion with the Long Head of the Biceps Tendon |
| title_short | Partial Articular Supraspinatus Tendon Avulsion Repair and Patch: A Technical Note for Augmenting the Supraspinatus Reinsertion with the Long Head of the Biceps Tendon |
| title_sort | partial articular supraspinatus tendon avulsion repair and patch a technical note for augmenting the supraspinatus reinsertion with the long head of the biceps tendon |
| topic | Biceps incorporation Biologic tendon augmentation Long head of the biceps tendon Partial articular sided supraspinatus tendon avulsion PASTA repair |
| url | https://doi.org/10.1111/os.13856 |
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