Arthroscopic Suprapectoral Biceps Tenodesis With Tenodesis Screw
There are many methods for long head of the biceps tendon (LHBT) tenodesis, but a consensus on a superior method has yet to be met. In this article, we introduce a method for arthroscopic suprapectoral biceps tenodesis using a tenodesis screw in the bicipital tunnel. The intra-articular portion of t...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-05-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717303778 |
| _version_ | 1819098526327504896 |
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| author | Brian Forsythe, M.D. William A. Zuke, B.S. Richard N. Puzzitiello, B.S. Anthony A. Romeo, M.D. |
| author_facet | Brian Forsythe, M.D. William A. Zuke, B.S. Richard N. Puzzitiello, B.S. Anthony A. Romeo, M.D. |
| author_sort | Brian Forsythe, M.D. |
| collection | DOAJ |
| description | There are many methods for long head of the biceps tendon (LHBT) tenodesis, but a consensus on a superior method has yet to be met. In this article, we introduce a method for arthroscopic suprapectoral biceps tenodesis using a tenodesis screw in the bicipital tunnel. The intra-articular portion of the biceps tendon is transected. The subdeltoid space is then viewed via a lateral portal, and the tendon is mobilized from the bicipital tunnel. The tendon is retrieved through the anterior portal, and 5 whipstitch passes and a second distal stitch are placed. Three of the suture tails are passed through the tenodesis screwdriver, and the tendon is maneuvered to the previously reamed bone socket located 1.5 cm superior to the pec tendon, just inferior to the bicipital groove. Once the tenodesis screw is fixated in sufficient bone stock, 5 alternating half hitches reinforce the construct by creating a closed loop through the screw. This described technique allows full visualization of the LHBT dissection and tenodesis throughout the procedure. Additionally, this technique provides a method to incorporate whipstitching with an arthroscopic tenodesis screw to provide additional strength to tendon fixation. |
| first_indexed | 2024-12-22T00:32:23Z |
| format | Article |
| id | doaj.art-bc44731ac2b64af88308db7310a48f78 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-22T00:32:23Z |
| publishDate | 2018-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-bc44731ac2b64af88308db7310a48f782022-12-21T18:44:54ZengElsevierArthroscopy Techniques2212-62872018-05-0175e417e422Arthroscopic Suprapectoral Biceps Tenodesis With Tenodesis ScrewBrian Forsythe, M.D.0William A. Zuke, B.S.1Richard N. Puzzitiello, B.S.2Anthony A. Romeo, M.D.3Address correspondence to Brian Forsythe, M.D., Midwest Orthopaedics at Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, IL 60612, U.S.A.; Division of Sports Medicine, Department of Orthopaedic Surgery, Midwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, U.S.A.Division of Sports Medicine, Department of Orthopaedic Surgery, Midwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, U.S.A.Division of Sports Medicine, Department of Orthopaedic Surgery, Midwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, U.S.A.Division of Sports Medicine, Department of Orthopaedic Surgery, Midwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, U.S.A.There are many methods for long head of the biceps tendon (LHBT) tenodesis, but a consensus on a superior method has yet to be met. In this article, we introduce a method for arthroscopic suprapectoral biceps tenodesis using a tenodesis screw in the bicipital tunnel. The intra-articular portion of the biceps tendon is transected. The subdeltoid space is then viewed via a lateral portal, and the tendon is mobilized from the bicipital tunnel. The tendon is retrieved through the anterior portal, and 5 whipstitch passes and a second distal stitch are placed. Three of the suture tails are passed through the tenodesis screwdriver, and the tendon is maneuvered to the previously reamed bone socket located 1.5 cm superior to the pec tendon, just inferior to the bicipital groove. Once the tenodesis screw is fixated in sufficient bone stock, 5 alternating half hitches reinforce the construct by creating a closed loop through the screw. This described technique allows full visualization of the LHBT dissection and tenodesis throughout the procedure. Additionally, this technique provides a method to incorporate whipstitching with an arthroscopic tenodesis screw to provide additional strength to tendon fixation.http://www.sciencedirect.com/science/article/pii/S2212628717303778 |
| spellingShingle | Brian Forsythe, M.D. William A. Zuke, B.S. Richard N. Puzzitiello, B.S. Anthony A. Romeo, M.D. Arthroscopic Suprapectoral Biceps Tenodesis With Tenodesis Screw Arthroscopy Techniques |
| title | Arthroscopic Suprapectoral Biceps Tenodesis With Tenodesis Screw |
| title_full | Arthroscopic Suprapectoral Biceps Tenodesis With Tenodesis Screw |
| title_fullStr | Arthroscopic Suprapectoral Biceps Tenodesis With Tenodesis Screw |
| title_full_unstemmed | Arthroscopic Suprapectoral Biceps Tenodesis With Tenodesis Screw |
| title_short | Arthroscopic Suprapectoral Biceps Tenodesis With Tenodesis Screw |
| title_sort | arthroscopic suprapectoral biceps tenodesis with tenodesis screw |
| url | http://www.sciencedirect.com/science/article/pii/S2212628717303778 |
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