Modified Biceps Suspension Procedure for Painful Glenohumeral Inferior Subluxation in Hemiplegic Stroke Patients: A Preliminary Study

Arthroscopic shoulder suspensioplasty in painful hemiplegic shoulder subluxation—a case series

“…More recently, Thomas and Kim reported the results of a modified Keenan technique, with the addition of biceps tendon suturing at the rotator interval, in 5 patients at a mean follow-up of 3.2 years. 21 They found significant pain reduction, without modification of the passive shoulder ROM. Radiologically, persistence of the GHS was found in all patients at the last follow-up.…”

“…If pain decreases after the subluxation is reduced by splinting the elbow to the body, confirmed by radiographic assessment, surgical management of painful GHS has been proposed by Pinzur and Hopkins, 19 Namdari and Keenan, 17 and Thomas and Kim. 21 More recently, an arthroscopic glenohumeral suspensioplasty surgery by biceps tenodesis was proposed. 3 …”

Arthroscopic Shoulder Biceps Suspensionplasty for Hemiplegic Shoulder Painful Inferior Subluxation

“…Although some studies report encouraging results on clinical improvement after surgical glenohumeral stabilization in hemiplegic shoulder pain, 5 , 6 surgery is generally avoided because of the high anesthetic risk or morbidity associated with surgical procedures on neurologically compromised limbs. The use of a less-invasive arthroscopic technique therefore makes sense in this patient population, to decrease the morbidity of the surgical procedure, reducing scarring and septic risks.…”

“…The surgical management of these inferior glenohumeral subluxations was proposed openly by Pinzur and Hopkins in 1986, 4 then by Namdari and Keenan in 2010, 5 and more recently by Thomas and Kim in 2018. 6 This study describes an arthroscopic technique of glenohumeral suspensionplasty by biceps tenodesis, proposed for painful GHS in hemiplegic patients.…”