The Long Head of the Biceps Bristow-Bankart Procedure for Anterior Shoulder Instability

Surgical procedures to treat anterior shoulder instability are basically split into 2 groups: those for patients with important bone loss and those for patients with no bone loss. However, there is a gray zone between these procedures in which a bone graft would not be needed but bone grafting would...

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Main Authors: Jose Carlos Garcia, Jr., M.D., Ph.D., Renan J. Belchior, M.D., Marcelo B.D. Mello, M.D., Alvaro M. Cardoso, Jr., M.D.
Format: Article
Language:English
Published: Elsevier 2019-10-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628719301239
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author Jose Carlos Garcia, Jr., M.D., Ph.D.
Renan J. Belchior, M.D.
Marcelo B.D. Mello, M.D.
Alvaro M. Cardoso, Jr., M.D.
author_facet Jose Carlos Garcia, Jr., M.D., Ph.D.
Renan J. Belchior, M.D.
Marcelo B.D. Mello, M.D.
Alvaro M. Cardoso, Jr., M.D.
author_sort Jose Carlos Garcia, Jr., M.D., Ph.D.
collection DOAJ
description Surgical procedures to treat anterior shoulder instability are basically split into 2 groups: those for patients with important bone loss and those for patients with no bone loss. However, there is a gray zone between these procedures in which a bone graft would not be needed but bone grafting would result in a desirable improvement in stabilizing mechanisms. We describe a technique based on the triple soft-tissue block, Bankart reconstruction, and long head of the biceps tenodesis at the anterior glenoid rim. The long head of the biceps would add an anterior restrictor by itself, as well as by tensioning the inferior part of the subscapularis.
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spelling doaj.art-83216e57c7ba4647ab9a48f9860aa3242022-12-21T18:59:11ZengElsevierArthroscopy Techniques2212-62872019-10-01810e1185e1191The Long Head of the Biceps Bristow-Bankart Procedure for Anterior Shoulder InstabilityJose Carlos Garcia, Jr., M.D., Ph.D.0Renan J. Belchior, M.D.1Marcelo B.D. Mello, M.D.2Alvaro M. Cardoso, Jr., M.D.3Address correspondence to Jose Carlos Garcia Jr., M.D., Ph.D., NAEON, Avenida Ibirapuera 2144, CJ 82, São Paolo, SP 04028-001, Brazil.; NAEON Institute, São Paulo, BrazilNAEON Institute, São Paulo, BrazilNAEON Institute, São Paulo, BrazilNAEON Institute, São Paulo, BrazilSurgical procedures to treat anterior shoulder instability are basically split into 2 groups: those for patients with important bone loss and those for patients with no bone loss. However, there is a gray zone between these procedures in which a bone graft would not be needed but bone grafting would result in a desirable improvement in stabilizing mechanisms. We describe a technique based on the triple soft-tissue block, Bankart reconstruction, and long head of the biceps tenodesis at the anterior glenoid rim. The long head of the biceps would add an anterior restrictor by itself, as well as by tensioning the inferior part of the subscapularis.http://www.sciencedirect.com/science/article/pii/S2212628719301239
spellingShingle Jose Carlos Garcia, Jr., M.D., Ph.D.
Renan J. Belchior, M.D.
Marcelo B.D. Mello, M.D.
Alvaro M. Cardoso, Jr., M.D.
The Long Head of the Biceps Bristow-Bankart Procedure for Anterior Shoulder Instability
Arthroscopy Techniques
title The Long Head of the Biceps Bristow-Bankart Procedure for Anterior Shoulder Instability
title_full The Long Head of the Biceps Bristow-Bankart Procedure for Anterior Shoulder Instability
title_fullStr The Long Head of the Biceps Bristow-Bankart Procedure for Anterior Shoulder Instability
title_full_unstemmed The Long Head of the Biceps Bristow-Bankart Procedure for Anterior Shoulder Instability
title_short The Long Head of the Biceps Bristow-Bankart Procedure for Anterior Shoulder Instability
title_sort long head of the biceps bristow bankart procedure for anterior shoulder instability
url http://www.sciencedirect.com/science/article/pii/S2212628719301239
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