Open Subpectoral Tenodesis of the Proximal Biceps - 15/12/17

Doi : 10.1016/j.csm.2015.08.007

Andreas Voss, MD ^a, Simone Cerciello, MD ^b, Justin Yang, MD ^a, Knut Beitzel, MA, MD ^c, Mark P. Cote, PT, DPT, MSCTR ^a, Augustus D. Mazzocca, MS, MD ^d,^⁎
^a Department of Orthopaedic Surgery, UConn Musculoskeletal Institute, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06034, USA
^b Department of Geriatrics, Neurosciences and Orthopaedics, Policlinico Agostino Gemelli, Catholic University of Rome, Largo Francesco Vito 1, Rome 00135, Italy
^c Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Street 22, Munich 81675, Germany
^d Department of Orthopaedic Surgery, UConn Musculoskeletal Institute, UConn Health, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06034, USA

^∗Corresponding author.

Résumé

This article summarizes both the various techniques for an open subpectoral biceps tenodesis as well as the biomechanics associated with these procedures. It provides information regarding the indications and contraindications to support the surgeon's decision. Furthermore, a postoperative protocol as well as an outcome overview is presented to address postoperative care. A short summary of the recent literature regarding potential complications is included to provide further insight on this technique. The open subpectoral tenodesis of the long head of the biceps is a safe and reproducible technique with a low complication rate for patients with pathologies of the proximal biceps.

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Keywords : Subpectoral, Proximal biceps, Tenodesis, Open, Long head of the biceps

Plan

Key points

Introduction

Indications/contraindications

Surgical techniques

Bone Tunnel Technique

Cortical Button Technique

Keyhole Technique

Suture Anchor Technique

Interference Screw Technique

Preparation and patient positioning

Surgical approach

Biomechanics

Complications and management

Postoperative care

Clinical outcomes

	Funding source: None (A. Voss, J. Yang, S. Cerciello, K. Beitzel, M.P. Cote). Arhtrex Inc, Naples, FL, USA (Consultant and Research) (A.D. Mazzocca).
	Conflict of Interest: None (A. Voss, J. Yang, S. Cerciello, K. Beitzel, M.P. Cote). The University of Connecticut Health Center/UConn Musculoskeletal Institute has received research funding from Arthrex (Naples, FL). The company had no influence on study design, data collection, or interpretation of the results or on the final article (A.D. Mazzocca).