Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis: A Comparison of Restoration of Length-Tension and Mechanical Strength Between Techniques

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodeses Produce Similar Outcomes: A Randomized Prospective Analysis

“…3,12,15 A small number of cadaveric and biomechanical studies have compared these 2 techniques. [16][17][18] Clinical studies have shown the effectiveness of both ASPBT and OSPBT. 11 Several clinical studies have compared ASPBT and OSPBT directly; however, they have been retrospective in nature.…”

Disorders of the long head of the biceps: tenotomy versus tenodesis

“…Werner et al, 49 in a biomechanical study in cadavers, compared the strength and length and tension restoration of the LHB in two tenodesis techniques utilizing interference screws: arthroscopic suprapectoral and open subpectoral. They concluded that in arthroscopic tenodesis there was a tendency to increase the physiological tension of the tendon; this technique was less resistant to cyclical forces when compared with the open technique.…”

“…It is also suggested that LHB procedures should not be routinely indicated for the treatment of rotator cuff injuries. The main techniques described for the surgical treatment of LHB disorders were: acromioplasty, debridement, reconstruction of the biceps reflection pulley, tenotomy, and tenodesis 4, 5, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54…”

“…The sites described for LHB fixation in the humerus include the proximal portion of the bicipital groove, suprapectoral, subpectoral, or in the soft tissue, such as in the conjoined tendon and the tendon of the pectoralis major muscle. Some authors have suggested that suprapectoral tenodesis as well as tenodesis performed distal to the intertubercular groove have better results regarding residual pain 4, 27, 28, 29, 30, 33, 36, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 52, 53…”

Regional mechanical properties of the long head of the biceps tendon

“…In addition to the repair technique, the location of the repair placement is debated (Johannsen et al, 2013;Patzer et al, 2012;Werner et al, 2014a).…”