Clinical success of biceps tenodesis with and without release of the transverse humeral ligament

Sanders, Brett; Lavery, Kyle P.; Pennington, Scott D.; Warner, Jon J.P.

doi:10.1016/j.jse.2011.01.037

Cited by 161 publications

(133 citation statements)

References 32 publications

(48 reference statements)

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“…In a previous study, the chance of success in arthroscopic tenodesis operations made without decompression of the extra-articular biceps tendon was reported to be lower compared to cases where the transverse humeral ligament was sectioned or cases of tenodesis made distal to the bicipital groove [32]. According to the results obtained in the current study together with those of the previous cited studies, primary decompression of the transverse humeral ligament may be sufficient in the treatment of selected patients with biceps tendinopathy.…”

Section: Discussionsupporting

confidence: 62%

Are we over-treating biceps tendon disorders?

Pehlivan¹,

Pehlivan²,

İmren³

et al. 2017

Med-Science

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The aim was to analyse biceps tendon disorders histopathologically in order to get a better understanding of the pathogenesis. A histopathological examination was made of tissue samples taken from 41 patients in subpectoral biceps tenodesis operations applied for a diagnosis of biceps tendinopathy. The mean age of the patients was 53,4 (range: 27-64). The mean Constant shoulder score was determined as 32 preoperatively and 84 postoperatively. The VAS (visual analog score) values were determined as mean 8.75 preoperatively and 2.18 postoperatively. As a result of the histopathological examinations, no findings suggestive of an acute or chronic inflammatory event were determined in any case. The histological findings determined were not sufficient to explain the pathophysiology of biceps tendinopathy diseases. The findings strengthened the view that extrinsic factors apart from the tendon could play a significant role in the pathogenesis of the disease. Therefore, we ask whether or not tendon decompression may be considered as a treatment option for biceps tendinopathies as in chronic compression tendinopathies.

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Section: Discussionsupporting

confidence: 62%

Are we over-treating biceps tendon disorders?

Pehlivan¹,

Pehlivan²,

İmren³

et al. 2017

Med-Science

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“…[8,16] Some have postulated that subacromial impingement may be worsened without the passive effect of the long head of the biceps as a humeral head depressor, such as with biceps tenodesis or that the short head may further exacerbate this impingement by elevating the humeral head with contraction [15,25].…”

Section: Resultsmentioning

confidence: 99%

The effect of long and short head biceps loading on glenohumeral joint rotational range of motion and humeral head position

McGarry

Nguyen

Quigley

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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Loading the long head of the biceps had a much greater effect on glenohumeral range of motion and humeral head shift than the short head of the biceps; however, in the absence of long head loading, with the short head loaded, maximum internal rotation increases and the humeral head shifts superiorly, which may contribute to impingement following tenodesis of the long head of the biceps. These small changes in rotational range of motion and humeral head position with biceps tenodesis may not lead to pathologic conditions in low-demand patients; however, in throwers, biceps tenodesis may lead to increased contact pressures in late-cocking and deceleration that will likely translate to decreased performance therefore every effort should be made to preserve the biceps-labral complex.

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“…11 Some authors have suggested that the bicipital groove may act as a "pain generator" in the shoulder, and removal of Arthroscopic electrocautery is used to prepare the footprint for the tenodesis just distal to the bicipital groove. Fig 10. A cannulated drill is used to drill a unicortical trough at the tenodesis site.…”

Section: Discussionmentioning

confidence: 99%

“…10 In addition, there is a higher reported revision rate for proximal tenodesis locations compared with tenodesis sites distal to the bicipital groove. 11 Mazzocca et al 3 described a mini-open tenodesis technique in which the tenodesis is performed directly underneath the pectoralis major tendon, distal to the bicipital groove. However, open tenodesis techniques have the potential for complications associated with open surgery such as increased rates of blood loss, wound infection, nerve injury, and cosmetic deformity from the scar.…”

mentioning

confidence: 99%

All-Arthroscopic Suprapectoral Biceps Tenodesis

Nair

Kahlenberg

Patel

et al. 2015

Arthroscopy Techniques

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Biceps tenodesis is a common treatment for pathology of the long head of the biceps tendon. Several authors have described various arthroscopic and open techniques for biceps tenodesis. Open techniques have been associated with complications such as wound infection and nerve injury. Previously described arthroscopic techniques have placed the tenodesis site within the bicipital groove, which may lead to persistent pain. We describe an all-arthroscopic suprapectoral biceps tenodesis technique that places the tenodesis site distal to the bicipital groove. This technique potentially avoids the complications associated with open tenodesis surgery while still removing the biceps tendon from the bicipital groove.

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Clinical success of biceps tenodesis with and without release of the transverse humeral ligament

Cited by 161 publications

References 32 publications

Are we over-treating biceps tendon disorders?

Are we over-treating biceps tendon disorders?

The effect of long and short head biceps loading on glenohumeral joint rotational range of motion and humeral head position

All-Arthroscopic Suprapectoral Biceps Tenodesis

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