Identifying and Exposing the Proximal Biceps in Its Groove: The “Slit” Technique

Abstract

Proximal biceps tendon pathology is a common source of shoulder symptoms. Thus, visualization of the entire extent of the biceps tendon is often required for both diagnostic and therapeutic purposes. Accurately recognizing the presence and extent of biceps pathology intraoperatively is made more difficult, however, due to the extra-articular location of a significant portion of the biceps tendon as it courses within the bicipital groove. Unfortunately, identification of the biceps groove in the subacromial space is often challenging due to the lack of visual and tactile landmarks. A technique that facilitates efficient and reliable bicipital groove identification and biceps tendon visualization along its entire course within the groove is presented.

“Triple-Fix” Arthroscopic Biceps Tenodesis: Indications and Technique

“…The described “slit” technique greatly simplifies the ease of identifying the bicipital groove, making this step very reliable and efficient. 8 Table 2 further lists technique suggestions and precautions.…”

“…This article describes a technique developed by the authors that combines an efficient and reproducible method to expose the extra-articular biceps tendon with a secure arthroscopic tenodesis using a triple-loaded suture anchor that allows for “triple-fix” augmented fixation. 8 …”