Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii

When the long head of the biceps tendon is diseased, tenodesis is an appropriate treatment strategy. The specific technique used is dependent on visualization, fixation method and hardware, and tenodesis location. For suprapectoral tenodesis techniques, those that fix the tendon within or below the...

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Main Authors: Wyatt J. Andersen, M.S.H.S., A.T.C., Matheus Barcelos, M.D., Maurício de Paiva Raffaelli, M.D., Alan M. Hirahara, M.D., F.R.C.S.C.
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628720302401
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author Wyatt J. Andersen, M.S.H.S., A.T.C.
Matheus Barcelos, M.D.
Maurício de Paiva Raffaelli, M.D.
Alan M. Hirahara, M.D., F.R.C.S.C.
author_facet Wyatt J. Andersen, M.S.H.S., A.T.C.
Matheus Barcelos, M.D.
Maurício de Paiva Raffaelli, M.D.
Alan M. Hirahara, M.D., F.R.C.S.C.
author_sort Wyatt J. Andersen, M.S.H.S., A.T.C.
collection DOAJ
description When the long head of the biceps tendon is diseased, tenodesis is an appropriate treatment strategy. The specific technique used is dependent on visualization, fixation method and hardware, and tenodesis location. For suprapectoral tenodesis techniques, those that fix the tendon within or below the bicipital groove can be challenging owing to the transverse humeral ligament covering the groove. To accurately identify the biceps tendon in this area, the ligament often requires resection. Ultrasound provides surgeons with a safe and noninvasive tool to visualize the biceps tendon as it exits the bicipital groove, negating the need for unroofing and other pitfalls associated with traditional techniques. This technical note describes an ultrasound-guided suprapectoral biceps tenodesis procedure.
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spelling doaj.art-c384ab522e934caba9b3d50fec17cefc2022-12-21T18:42:14ZengElsevierArthroscopy Techniques2212-62872020-12-01912e2071e2076Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps BrachiiWyatt J. Andersen, M.S.H.S., A.T.C.0Matheus Barcelos, M.D.1Maurício de Paiva Raffaelli, M.D.2Alan M. Hirahara, M.D., F.R.C.S.C.3Private Practice, Sacramento, California, U.S.A.Institute of the Shoulder and the Elbow, Núcleo Avançado de Estudos em Orthopedia e Neurocirurgia (NÆON), São Paulo, BrazilInstitute of the Shoulder and the Elbow, Núcleo Avançado de Estudos em Orthopedia e Neurocirurgia (NÆON), São Paulo, BrazilPrivate Practice, Sacramento, California, U.S.A.; Address correspondence to Alan M. Hirahara, M.D., F.R.C.S.C., Private Practice, 2801 K St, Ste 330, Sacramento, CA 95816, U.S.A.When the long head of the biceps tendon is diseased, tenodesis is an appropriate treatment strategy. The specific technique used is dependent on visualization, fixation method and hardware, and tenodesis location. For suprapectoral tenodesis techniques, those that fix the tendon within or below the bicipital groove can be challenging owing to the transverse humeral ligament covering the groove. To accurately identify the biceps tendon in this area, the ligament often requires resection. Ultrasound provides surgeons with a safe and noninvasive tool to visualize the biceps tendon as it exits the bicipital groove, negating the need for unroofing and other pitfalls associated with traditional techniques. This technical note describes an ultrasound-guided suprapectoral biceps tenodesis procedure.http://www.sciencedirect.com/science/article/pii/S2212628720302401
spellingShingle Wyatt J. Andersen, M.S.H.S., A.T.C.
Matheus Barcelos, M.D.
Maurício de Paiva Raffaelli, M.D.
Alan M. Hirahara, M.D., F.R.C.S.C.
Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii
Arthroscopy Techniques
title Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii
title_full Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii
title_fullStr Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii
title_full_unstemmed Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii
title_short Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii
title_sort ultrasound guided suprapectoral tenodesis of the long head of the biceps brachii
url http://www.sciencedirect.com/science/article/pii/S2212628720302401
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