A novel failure mode for biceps tenodesis using fork-tipped interference screws

The Arthroscopic Loop Tenodesis Procedure: An Implant-Free Technique to Treat Long Biceps Tendon Pathologies

“…In particular, bony fixation tenodesis techniques, using an anchor or interference screw, show good results, especially in cosmetic concerns 4 ; nevertheless, several implant-associated complications can occur. Besides fractures and infection, residual pain at the site of tenodesis are observed 5, 6, 7…”

“…Besides fractures and infection, residual pain at the site of tenodesis are observed. [5][6][7] The purpose of this article is to present the so-called loop tenodesis procedure for treatment of patients with long biceps tendon pathologies. An enlarging of the tenotomized proximal LHB diameter, by creating a tendon Loop, supports the self-locking mechanism with a subsequent stable "autotenodesis" at the entrance to the bicipital groove (Video 1).…”

The All-Inside Arthroscopic Loop Tenodesis Procedure to Treat Long Head of Biceps Tendon Pathologies

“…Although distalization of the biceps muscle can often be observed after simple LHB tenotomy, [1][2][3] implant-associated complications can occur with bony tenodesis techniques using an anchor or interference screw. [4][5][6] Recently, the loop tenodesis procedure was presenteddan arthroscopically assisted technique that enlarges the tenotomized proximal LHB diameter by creating a tendon loop and supports the self-locking mechanism with a subsequent stable "autotenodesis" at the entrance to the bicipital groove. 1 This article describes a further development of this technique called the "all-inside arthroscopic loop tenodesis procedure."…”

“…Long head of biceps (LHB) tendon stitch configuration: arthroscopic visualization of the right LHB from the posterior portal with the patient placed in the beach-chair position, showing stitch 1 about 2.5 cm distal to the SLAP complex (1); stitch 2 in a caudocranial direction close to the tendon's base(2); stitch 3 in a craniocaudal direction close to the tendon's base (3); and stitch 4 in a caudocranial direction about 2.5 cm distal to the SLAP complex(4). (AIP, anteroinferior portal; CH, caput humeri; SSC, subscapularis tendon; SSP, supraspinatus tendon.…”