Biceps Tenodesis Technique Haderer Muller This series of illustrations demonstrates the surgical technique described in the peer reviewed article “subpectoral biceps tenodesis: a new endobutton docking technique with interference screw augmentation” by kai mithoefer, md. Tenodesis and tenotomy of the long head of the biceps are treatment options for a wide range of pathologies without clear superior technique or site of fixation. clinical outcomes comparing numerous techniques for tenotomy versus tenodesis have resulted in similar pain relief; however, tenotomy may result in a cosmetic “popeye” deformity and fatigue pain. we present a quick, simple, and.
Biceps Tenodesis Technique Haderer Muller Pathology of the long head of the bicep tendon is a common cause of anterior shoulder pain and frequently is treated surgically using either tenodesis or tenotomy. tenodesis often is the preferred technique for younger, more active patients and laborers, especially when cosmesis and preservation of function are clinical priorities. however, the security of the tenodesis varies with fixation. Support the arm with the meisel mitten in the arthroscopy position with 10 pounds of traction. prep and drape the arm in the usual fashion for shoulder arthroscopy. outline the acromion, distal clavicle, coracoid process and biceps tendon. mark portal 2 to 3 cm distal and 1 to 2 cm medial to the posterior lateral tip of the acromion. Fig 8. open in a new tab. (a) the long head of the biceps tendon stump is debrided with an electrocautery wand and shaver to clean the labrum. (b) appearance of the proximal biceps stump (pbs) and glenoid (g) at the end of the procedure. (al, anterior labrum; pl, posterior labrum.). 1 4 weeks after surgery)rehabi. tation goalsprotect repaired biceps tendon.mi. mize shoulder pain and inflam. tory response.keep incisions clean and dry.restore passiv. range of motion (prom) of s. d elbow.adequate scapular functi. sling. wear sling as directed by surgeon.
Biceps Tenodesis Technique Haderer Muller Fig 8. open in a new tab. (a) the long head of the biceps tendon stump is debrided with an electrocautery wand and shaver to clean the labrum. (b) appearance of the proximal biceps stump (pbs) and glenoid (g) at the end of the procedure. (al, anterior labrum; pl, posterior labrum.). 1 4 weeks after surgery)rehabi. tation goalsprotect repaired biceps tendon.mi. mize shoulder pain and inflam. tory response.keep incisions clean and dry.restore passiv. range of motion (prom) of s. d elbow.adequate scapular functi. sling. wear sling as directed by surgeon. The long head of the biceps (lhb) tendon is a potential source of shoulder pain encountered by orthopaedic surgeons. a multitude of approaches to addressing lhb tendinopathy have been described. these include various surgical techniques such as tenodesis versus tenotomy, an arthroscopic versus an open approach, and differing methods of tenodesis fixation. our preferred approach to addressing. The role of the long head of the biceps (lhb) tendon in producing anterior shoulder pain, first described by hitchcock and bechtol 49 in 1948, is now widely accepted. 103, 110 uncertainty about its role as a shoulder stabilizer, however, has led to the development of different schools of thought regarding the benefits of biceps tenodesis. 41, 43, 50, 58, 89, 92, 101, 125 the procedure’s.
Biceps Tenodesis Procedure The long head of the biceps (lhb) tendon is a potential source of shoulder pain encountered by orthopaedic surgeons. a multitude of approaches to addressing lhb tendinopathy have been described. these include various surgical techniques such as tenodesis versus tenotomy, an arthroscopic versus an open approach, and differing methods of tenodesis fixation. our preferred approach to addressing. The role of the long head of the biceps (lhb) tendon in producing anterior shoulder pain, first described by hitchcock and bechtol 49 in 1948, is now widely accepted. 103, 110 uncertainty about its role as a shoulder stabilizer, however, has led to the development of different schools of thought regarding the benefits of biceps tenodesis. 41, 43, 50, 58, 89, 92, 101, 125 the procedure’s.
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