“Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension
Tenodesis of the long head of the biceps tendon (LHB) at the upper part of the bicipital groove has been related to persistent postoperative bicipital pain. This is possibly due to the inflammation of the remaining tendon within the groove. This, in turn, could be attributed to the continual mechani...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2014-10-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628714000917 |
| _version_ | 1819079627070504960 |
|---|---|
| author | Philippe Valenti, M.D. Ivan Benedetto, M.D. Ali Maqdes, M.D. Sara Lima, M.D. Constantina Moraiti, M.D., Ph.D. |
| author_facet | Philippe Valenti, M.D. Ivan Benedetto, M.D. Ali Maqdes, M.D. Sara Lima, M.D. Constantina Moraiti, M.D., Ph.D. |
| author_sort | Philippe Valenti, M.D. |
| collection | DOAJ |
| description | Tenodesis of the long head of the biceps tendon (LHB) at the upper part of the bicipital groove has been related to persistent postoperative bicipital pain. This is possibly due to the inflammation of the remaining tendon within the groove. This, in turn, could be attributed to the continual mechanical stress placed on the tendon in the narrow bicipital groove. Theoretically, should the LHB be more “relaxed,” the mechanical stress applied on it would be diminished. On the basis of this rationale, we present an arthroscopic biceps tenodesis technique, according to which the tendon is fixed at the entrance of the bicipital groove, using a bioabsorbable screw, relaxed by 5 mm. In this lax position, the residual LHB tension is expected to be decreased compared with the initial tension, whereas no cosmetic deformity (Popeye sign) or impaired muscular performance is anticipated. |
| first_indexed | 2024-12-21T19:31:59Z |
| format | Article |
| id | doaj.art-40de1daa418f4a989c21e8ad75f0f33c |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-21T19:31:59Z |
| publishDate | 2014-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-40de1daa418f4a989c21e8ad75f0f33c2022-12-21T18:52:41ZengElsevierArthroscopy Techniques2212-62872014-10-0135e639e641“Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon TensionPhilippe Valenti, M.D.0Ivan Benedetto, M.D.1Ali Maqdes, M.D.2Sara Lima, M.D.3Constantina Moraiti, M.D., Ph.D.4Address correspondence to Philippe Valenti, M.D., Institut de la Main, 6 Square Jouvenet, 75016 Paris, France.; Institut de la Main, Paris, FranceInstitut de la Main, Paris, FranceInstitut de la Main, Paris, FranceInstitut de la Main, Paris, FranceInstitut de la Main, Paris, FranceTenodesis of the long head of the biceps tendon (LHB) at the upper part of the bicipital groove has been related to persistent postoperative bicipital pain. This is possibly due to the inflammation of the remaining tendon within the groove. This, in turn, could be attributed to the continual mechanical stress placed on the tendon in the narrow bicipital groove. Theoretically, should the LHB be more “relaxed,” the mechanical stress applied on it would be diminished. On the basis of this rationale, we present an arthroscopic biceps tenodesis technique, according to which the tendon is fixed at the entrance of the bicipital groove, using a bioabsorbable screw, relaxed by 5 mm. In this lax position, the residual LHB tension is expected to be decreased compared with the initial tension, whereas no cosmetic deformity (Popeye sign) or impaired muscular performance is anticipated.http://www.sciencedirect.com/science/article/pii/S2212628714000917 |
| spellingShingle | Philippe Valenti, M.D. Ivan Benedetto, M.D. Ali Maqdes, M.D. Sara Lima, M.D. Constantina Moraiti, M.D., Ph.D. “Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension Arthroscopy Techniques |
| title | “Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension |
| title_full | “Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension |
| title_fullStr | “Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension |
| title_full_unstemmed | “Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension |
| title_short | “Relaxed” Biceps Proximal Tenodesis: An Arthroscopic Technique With Decreased Residual Tendon Tension |
| title_sort | relaxed biceps proximal tenodesis an arthroscopic technique with decreased residual tendon tension |
| url | http://www.sciencedirect.com/science/article/pii/S2212628714000917 |
| work_keys_str_mv | AT philippevalentimd relaxedbicepsproximaltenodesisanarthroscopictechniquewithdecreasedresidualtendontension AT ivanbenedettomd relaxedbicepsproximaltenodesisanarthroscopictechniquewithdecreasedresidualtendontension AT alimaqdesmd relaxedbicepsproximaltenodesisanarthroscopictechniquewithdecreasedresidualtendontension AT saralimamd relaxedbicepsproximaltenodesisanarthroscopictechniquewithdecreasedresidualtendontension AT constantinamoraitimdphd relaxedbicepsproximaltenodesisanarthroscopictechniquewithdecreasedresidualtendontension |