Arthroscopic Keyhole Proximal Biceps Tenodesis: A Technical Note

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Arthroscopic keyhole proximal biceps tenodesis: a technical note.

We describe an arthroscopic keyhole technique for proximal biceps tenodesis. The technique is safe, easy to reproduce, cost-effective, and less time consuming. It does not need any special instrumentation and is suitable especially for use in the developing countries. It enables examination of the biceps sheath and distal biceps tendon for unidentified tears, synovitis, and fibrosis.

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There is increased interest of the orthopedic surgeons in treating the pathology of long head of biceps. Although there is some clarity in the result of biceps tenotomy, it is not so clear concerning tenodesis. An open keyhole tenodesis of biceps is shrouded with concerns of primary stability, use of deltopectoral incision, operative pain, technical difficulty to access biceps tendon in case of...

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Arthroscopic biceps tenodesis.

Arthroscopic biceps tenodesis is indicated for the treatment of severe biceps tendonopathy, partial- or full-thickness tendon tears, or biceps instability typically associated with rotator cuff tear, although there has been considerable debate on tenotomy versus tenodesis. We advocate tenodesis, for the following reasons: to re-establish the resting muscle length so as to avoid scaring and spas...

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Proximal Biceps Tenodesis

Methods: Twenty fresh-frozen cadaveric shoulders were dissected for analysis. Initial anatomic measurements involving the proximal long head of the biceps tendon (BT) were made, which included: the labral origin to the superior bicipital groove (LO-SBG), the total tendon length (TTL), the musculotendinous junction (MTJ) to the inferior pectoralis major tendon border, the MTJ to the superior pec...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2011

ISSN: 2309-4990,2309-4990

DOI: 10.1177/230949901101900326