Rotator Cuff Anterior Cable Reconstruction With Long Head of Biceps Tendon Autograft

Chen, Raymond E.; Bakhsh, Wajeeh; Lipof, Jason S; McVicker, Zachary G.; Voloshin, Ilya

doi:10.1016/j.eats.2020.02.001

Cited by 10 publications

(15 citation statements)

References 8 publications

(12 reference statements)

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“…8 Multiple authors have described anterior cable reconstruction using the biceps tendon. [23][24][25][26] Using a semitendinosus allograft allows the surgeon to maintain the long head of the biceps tendon as an additional superior restraint if present. 19 A longer allograft also allows for additional footprint coverage and can be fixed in a single-or double-row fashion.…”

Section: Discussionmentioning

confidence: 99%

Semitendinosus Allograft Cable Reconstruction Technique for Massive Irreparable Rotator Cuff Tears

Callegari

Phillips

Lee³

et al. 2022

Arthroscopy Techniques

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Massive irreparable rotator cuff tears are difficult to treat. Disruption of the rotator cable and joint capsule leads to altered glenohumeral joint mechanics, superior migration of the humeral head, and limited overhead function. A few graft options exist for reconstruction, with limited outcomes data. A newer technique using a hamstring allograft provides benefits compared with other graft reconstruction options. This Technical Note describes a rotator cable reconstruction using a V-shaped hamstring allograft for treatment of a massive, irreparable rotator cuff tear.

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Section: Discussionmentioning

confidence: 99%

Semitendinosus Allograft Cable Reconstruction Technique for Massive Irreparable Rotator Cuff Tears

Callegari

Phillips

Lee³

et al. 2022

Arthroscopy Techniques

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“…A method of repairing the rotator cuff by interpositioning the LHBT between the RCT and the humeral head bone bed has also been described. 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 This method uses tenotomized LHBT to repair massive RCTs to prevent undue tension on the biceps tendon. However, there is a disadvantage in that the strength of the superior capsule region cannot be reinforced owing to the tenotomized LHBT.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic partial Superior Capsular Reconstruction using the Long Head of the Biceps Tendon–Technique Description

Terra

Sassine

Ejnisman

et al. 2021

Arthroscopy Techniques

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Superior capsule reconstruction is a valuable intervention for some patients who present symptomatic irreparable posterosuperior rotator cuff tears. Superior capsule reconstruction techniques most commonly use either fascia lata autograft or dermal allograft. Both options have literature support but also present a few drawbacks such as donor site issues, potential allergic reactions, and high cost of the operation. The long head of biceps is a potential graft for rotator cuff tears and may be particularly useful in bridging the gap in irreparable massive rotator cuff tears, specifically as an alternative to more traditional superior capsular reconstruction. Long head of biceps transposition may offer unique and significant advantages over other techniques and can be an effective and valuable alternative in selected cases. The tendon’s insertion into the glenoid is left intact, whereas laterally it is transferred to a more central humeral head position and sutured with anchors onto the footprint of the supraspinatus tendon acting as a superior static stabilizer of the shoulder joint. The purpose of this article is to propose a technical modification of superior capsular reconstruction using long head of the biceps tendon autograft.

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“…The rotator cuff cable and rotator cuff interval are among the most recent topics of interest in current literature on shoulders [1,[14][15][16][17]. Most of the research has been published in the last two decades and our understanding of the importance regarding these anatomical structures has improved with biomechanical studies, which has changed the pre-and intra-operative approaches to shoulder surgery [5,14,18].…”

Section: Discussionmentioning

confidence: 99%

“…Most research shows that the anterior cable plays an essential place in shoulder biomechanics [1,5,9,14,19]. Current research shows that patients with a damaged anterior cable would more easily be associated with symptoms of higher SS muscle atrophy, as well as an increased retear rate after surgery repair, compared to patients without anterior cable disruption [6,15]. Therefore, it is mandatory to have a good understanding of the anatomy surrounding the rotator cable as well as the close relationship between the insertion of the supraspinatus and infraspinatus tendons and the coracohumeral ligament.…”

Section: Discussionmentioning

confidence: 99%

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Distance Between the Supraspinatus Central Tendon and the Long Head of the Biceps Tendon Can Predict Anterior Rotator Cable Disruption in Rotator Cuff Tear Patients Without Obvious Retraction.

Yin¹,

Yan²,

Cheng³

et al. 2021

Preprint

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Background: Current research shows that the anterior cable plays an essential role in rotator cuff tissue. To determine whether the distance between the supraspinatus central tendon and the long head of the biceps tendon, on a sagittal shoulder MRI scan, can predict anterior cable injury in rotator cuff tear patients before surgery. Method: A retrospective MRI scan was performed and a review of 103 patients with a rotator cuff tear – 50 patients with anterior cable injury and 53 patients without anterior cable injury. The distance between the supraspinatus central tendon and the biceps tendon’s long head was measured based on a sagittal MRI scan, and the tear size, degree of tear, and fatty degeneration of supraspinatus was also reviewed. SPSS software was used for statistical analysis of the relevant data. Two Independent Samples t-Test, binary logistics regression and receiver operating curve were also performed to evaluate select parameters.Results: The distance between the supraspinatus central tendon and the long head of the biceps tendon (DTD) was bigger in the anterior cable disrupted group (10.05±2.73 mm) when compared to the intact anterior cable group (7.96±2.30 mm) with a significant difference (P<0.01) Moreover, patients in the anterior cable disrupted group were of an older age, and there was a larger tear size and a worsened tear condition (P<0.05). Binary logistics regression t-Test showed that DTD is associated with anterior cable disruption. The receiver operating curve t-Test showed that DTD had an area under the curve of 75%. When setting the cut off value as 9 mm, DTD can predict anterior cable injury with a 74% sensitivity and 73.6% specificity. Conclusion: Compared with intact anterior cable patients, patients with anterior cable injury showed worsened tear condition and a larger distance between the supraspinatus central tendon and the long head of the biceps tendon, based on the oblique sagittal position of the MRI shoulder scan. Therefore, it may be a new tool for helping predict anterior rotator cable disruption in patients without obvious retraction.Trial registration: retrospectively registered

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Rotator Cuff Anterior Cable Reconstruction With Long Head of Biceps Tendon Autograft

Cited by 10 publications

References 8 publications

Semitendinosus Allograft Cable Reconstruction Technique for Massive Irreparable Rotator Cuff Tears

Semitendinosus Allograft Cable Reconstruction Technique for Massive Irreparable Rotator Cuff Tears

Arthroscopic partial Superior Capsular Reconstruction using the Long Head of the Biceps Tendon–Technique Description

Distance Between the Supraspinatus Central Tendon and the Long Head of the Biceps Tendon Can Predict Anterior Rotator Cable Disruption in Rotator Cuff Tear Patients Without Obvious Retraction.

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