Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor Configuration
Multiple different techniques exist for performing a biceps tenodesis, and the literature has yet to define a particular technique as superior with respect to outcomes. Factors as the center of various clinical and biomechanical studies include analyzing arthroscopic versus open techniques, optimal...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628719301148 |
| _version_ | 1819002576822075392 |
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| author | Alexander Beletsky, B.A. Jourdan M. Cancienne, M.D. Timothy Leroux, M.D. Brandon J. Manderle, M.D. Jorge Chahla, M.D., Ph.D. Nikhil N. Verma, M.D. |
| author_facet | Alexander Beletsky, B.A. Jourdan M. Cancienne, M.D. Timothy Leroux, M.D. Brandon J. Manderle, M.D. Jorge Chahla, M.D., Ph.D. Nikhil N. Verma, M.D. |
| author_sort | Alexander Beletsky, B.A. |
| collection | DOAJ |
| description | Multiple different techniques exist for performing a biceps tenodesis, and the literature has yet to define a particular technique as superior with respect to outcomes. Factors as the center of various clinical and biomechanical studies include analyzing arthroscopic versus open techniques, optimal fixation sites, and the use specific fixation devices (i.e., anchor, screw). This article details an all-arthroscopic approach for proximal tenodesis of the long head of the biceps tendon (LHBT) using a 2-portal method in a minimally invasive manner. Optimal biomechanical fixation of the LHBT is achieve by using 2 suture anchors in the creation of a dual lasso-loop configuration at the level of the bicipital groove. Technical pearls with respect to optimal arthroscopic viewing, efficient identification of the LHBT and subsequent release from the bicipital groove, and appropriate use of suture anchors for lasso-loop creation are presented for review. Two specific technical advantages of this technique include 2 fixation points for the LHBT to minimize failure risk, and smaller drill holes when compared with commonly performed tenodesis screw techniques to theoretically limit humeral fracture risk. |
| first_indexed | 2024-12-20T23:07:18Z |
| format | Article |
| id | doaj.art-f061043d71284859a25d487a05b01d23 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-20T23:07:18Z |
| publishDate | 2019-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-f061043d71284859a25d487a05b01d232022-12-21T19:23:49ZengElsevierArthroscopy Techniques2212-62872019-10-01810e1137e1143Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor ConfigurationAlexander Beletsky, B.A.0Jourdan M. Cancienne, M.D.1Timothy Leroux, M.D.2Brandon J. Manderle, M.D.3Jorge Chahla, M.D., Ph.D.4Nikhil N. Verma, M.D.5Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.Address correspondence to Nikhil N. Verma, M.D., Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, 1611 West Harrison St, Suite 300, Chicago, IL 60612, U.S.A.; Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.Multiple different techniques exist for performing a biceps tenodesis, and the literature has yet to define a particular technique as superior with respect to outcomes. Factors as the center of various clinical and biomechanical studies include analyzing arthroscopic versus open techniques, optimal fixation sites, and the use specific fixation devices (i.e., anchor, screw). This article details an all-arthroscopic approach for proximal tenodesis of the long head of the biceps tendon (LHBT) using a 2-portal method in a minimally invasive manner. Optimal biomechanical fixation of the LHBT is achieve by using 2 suture anchors in the creation of a dual lasso-loop configuration at the level of the bicipital groove. Technical pearls with respect to optimal arthroscopic viewing, efficient identification of the LHBT and subsequent release from the bicipital groove, and appropriate use of suture anchors for lasso-loop creation are presented for review. Two specific technical advantages of this technique include 2 fixation points for the LHBT to minimize failure risk, and smaller drill holes when compared with commonly performed tenodesis screw techniques to theoretically limit humeral fracture risk.http://www.sciencedirect.com/science/article/pii/S2212628719301148 |
| spellingShingle | Alexander Beletsky, B.A. Jourdan M. Cancienne, M.D. Timothy Leroux, M.D. Brandon J. Manderle, M.D. Jorge Chahla, M.D., Ph.D. Nikhil N. Verma, M.D. Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor Configuration Arthroscopy Techniques |
| title | Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor Configuration |
| title_full | Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor Configuration |
| title_fullStr | Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor Configuration |
| title_full_unstemmed | Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor Configuration |
| title_short | Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor Configuration |
| title_sort | arthroscopic tenodesis of the long head biceps tendon using a double lasso loop suture anchor configuration |
| url | http://www.sciencedirect.com/science/article/pii/S2212628719301148 |
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