All-Arthroscopic Long Head of the Biceps Transfer: An Optional Technique for Soft-Tissue Biceps Tenodesis

Abstract

Proximal tendinopathy of the long head of the biceps (LHB) is a common shoulder problem that requires surgical intervention, especially in patients with concomitant rotator cuff tears. The comparative results of biceps tenotomy and biceps tenodesis are still doubtful; both techniques show good to excellent results in terms of postoperative pain and functional outcomes. The described techniquedall-arthroscopic LHB transferdis an optional biceps tenodesis technique using all-arthroscopic soft-tissue tenodesis and arthroscopic suturing of the LHB to the short head of the biceps and coracoacromial ligament combined with release of the LHB from the bicipital groove.

Arthroscopic biceps tenodesis using press-fit bony plug: a case series study

“…Its main advantage is that it does not require additional fixation devices with added costs. However, it is more technically difficult, requires cautious haemostasis, and carries a risk of injury to the musculocutaneous nerve [ 25 ].…”

Simple Soft Tissue Biceps Tenodesis

“…Techniques for tenodesing the LHB to soft tissue have been described in the literature. 1 , 9 , 10 Apivatgaroon and Chernchujit 9 described an all-arthroscopic technique for LHB tenodesis to the conjoint tendon with good clinical outcomes and low rate of Popeye deformity. The percutaneous intra-articular trans tendon technique has been described using spinal needles percutaneously to pass horizontal mattresses to tie the LHB to the transverse humeral ligament and rotator interval tissue.…”

Technique of Arthroscopic Suprapectoral Tenodesis of the Long Head of the Biceps With Interference Screw

“…Indications for tenodesis are as follows: (1) chronic instability of the tendon in the bicipital sulcus; (2) “biceps pulley” lesions; (3) tendinopathy, partial tears of the biceps, tears of the subscapularis tendon; (4) SLAP lesions; (5) ossification of the bicipital sulcus; and (6) calcifying tendonitis. 14 …”