Trends in Long Head Biceps Tenodesis

Werner, Brian C.; Brockmeier, Stephen F.; Gwathmey, F. Winston

doi:10.1177/0363546514560155

Cited by 116 publications

(95 citation statements)

References 62 publications

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“…Thus biceps shortening and extension potentially leading to cosmetic restrictions, muscular pain, and cramping are effectively prevented. 1,4,10 Modern implants for intraosseous interference screw fixation such as the forkedeyelet SwiveLock Tenodesis screw enable in situ tenodesis and do not require tenotomy and Krackow suturing of the tendon stump prior to tenodesis. Redundancy of extracorporeal LHBT exteriorization considerably simplifies the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…O ver the past few years, interest in tenodesis of the long head of the biceps tendon (LHBT) has continually increased particularly regarding minimally invasive and arthroscopic techniques. 1 Unsatisfactory high rates of cosmetic deformity, muscular fatigue, and cramping after tenotomy in view of steadily increasing patient demands contribute to this still ongoing trend.…”

mentioning

confidence: 99%

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Tenoscopic Suprapectoral Biceps Tenodesis

Maier

Izadpanah

Jaeger

et al. 2016

Arthroscopy Techniques

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Existing arthroscopic techniques of proximal biceps tenodesis may be complicated by difficulty of tendon identification, restoration of length-tension relation, cosmetic deformity, persistent biceps pain, and shoulder stiffness requiring surgical revision in a relevant proportion of cases. In this context, biceps tenoscopy, an emerging discipline of shoulder endoscopy, offers major benefits. Tenoscopy comprises endoscopic treatment of tendons and tendon sheaths. The presented technique of tenoscopic suprapectoral biceps tenodesis (TSBT) substantially facilitates tendon identification and reduces invasiveness by avoidance of unnecessary surgical involvement of the deltoid space and bursa. TSBT enables effective treatment of the biceps tendon and surrounding tissues (biceps tendon sheath, tenosynovium, transverse humeral ligament) being consistently involved in proximal biceps pathologies. The physiological length-tension relation of the musculotendinous unit is reliably maintained. Technically, the procedure of tenodesis is simplified and accelerated by redundancy of tendon exteriorization. The aforementioned benefits of TSBT may lead to superior clinical and cosmetic outcomes and lower incidences of persistent proximal biceps pain and postoperative shoulder stiffness compared with conventional techniques of arthroscopic biceps tenodesis.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Tenoscopic Suprapectoral Biceps Tenodesis

Maier

Izadpanah

Jaeger

et al. 2016

Arthroscopy Techniques

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show abstract

“…Several studies have shown increased use of BT over the past decade, often in conjunction with rotator cuff repair, subacromial decompression, or distal clavicle excision. [3][4][5] The recent paradigm shift toward more minimally invasive or arthroscopic surgery within the past 2 decades has given way to innovative methods for managing bicepsesuperior labral complex pathology.…”

Section: See Related Article On Page 23mentioning

confidence: 99%

Editorial Commentary: Aim High or Go Low? Outcomes Are Equivalent for Arthroscopic Suprapectoral and Mini-open Subpectoral Biceps Tenodesis

Gowd

Beck

Waterman

2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The contemporary management of biceps-labral pathology has increasingly transitioned toward primary treatment of the long head of the biceps tendon, largely in response to more consistent outcomes relative to SLAP repair and so-called benign neglect. Accordingly, there has been renewed interest in evaluating relevant differences between varying operative techniques and constructs for biceps tenodesis, including an array of subacromial, intra-articular, suprapectoral, and subpectoral methods. Among these, arthroscopic suprapectoral tenodesis and mini-open subpectoral tenodesis remain in contention for "best in show," albeit with distinctly different merits and risks. Important considerations with either technique include restoration of the native length-tension relation, avoidance of perioperative complications, surgical-site morbidity, and technical ease. Dogma aside, surgeons facile with both techniques can confidently counsel their patients on the comparable short-term results after suprapectoral or subpectoral biceps tenodesis.

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“…T o minimize cramping and cosmetic deformity with biceps tenotomy, the number of biceps tenodesis procedures is rising. 1 In orthopaedic procedures such as rotator cuff repair, distal biceps repair, and quadriceps tendon repair, tendon-to-bone fixation is often recommended to create a more reliable healing response. So why do many surgeons advocate soft-tissue fixation over bony fixation for proximal biceps tenodesis?…”

Section: See Related Article On Page 560mentioning

confidence: 99%

Editorial Commentary: To Screw or to Sew—Which Is Better for Arthroscopic Biceps Tenodesis?

Feldman¹

2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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As the popularity of arthroscopic biceps tenodesis continues to grow, surgeons must choose between performing a soft-tissue tenodesis and performing a bony tenodesis. Although there is no difference in visual analog scale, Constant, or American Shoulder and Elbow Surgeons scores at greater than 2 years' follow-up, elbow flexion strength index and fixation failure rates favor bony tenodesis, important factors to consider when deciding which procedure to perform.

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Trends in Long Head Biceps Tenodesis

Abstract: The incidence of biceps tenodesis has increased yearly from 2008-2011. Arthroscopic tenodesis has emerged as a more popular technique. Charges associated with the procedure have increased significantly. Significant regional variations in procedural incidences exist.

Cited by 116 publications

References 62 publications

Tenoscopic Suprapectoral Biceps Tenodesis

Tenoscopic Suprapectoral Biceps Tenodesis

Editorial Commentary: Aim High or Go Low? Outcomes Are Equivalent for Arthroscopic Suprapectoral and Mini-open Subpectoral Biceps Tenodesis

Editorial Commentary: To Screw or to Sew—Which Is Better for Arthroscopic Biceps Tenodesis?

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