Subpectoral biceps tenodesis: a new technique using an all-suture anchor fixation

Wei-Ren Su, Florence Y. Ling, Chih Kai Hong, Chih Hsun Chang, Cheng-Li Lin, I. Ming Jou

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

There are several options for LHB tenodesis; yet, there is no standard of care. This technical note describes an extramedullary all-suture anchor technique for LHB tenodesis that is similar to the extramedullary cortical button technique. The LHB tenodesis is performed by using the Y-Knot (1.3-mm; ConMed Linvatec, Largo, FL).The biceps tenotomy is completed arthroscopically, and a standard subpectoral approach is used for the tenodesis. A reamer is first used to drill through the anterior cortex of the humerus; subsequently, a 1.3-mm drill bit is used to drill through the posterior cortex. The Y-Knot anchor is passed through the bone tunnel and secured on the posterior cortical bone. A modified rolling hitch suture is placed 10 mm distal to the end of the LHB tendon by using one suture limb of the Y-Knot anchor. The other suture limb is pulled to shuttle the LHB tendon into the humerus, and the construct is fixed by tying down one limb to the other. This technical note describes an alternative method for subpectoral biceps tenodesis and uses a small drill hole, conserves bone, and minimizes trauma to the tendon.

Level of evidence V.

Original languageEnglish
Pages (from-to)596-599
Number of pages4
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume23
Issue number2
DOIs
Publication statusPublished - 2015 Jan 1

Fingerprint

Tenodesis
Suture Anchors
Tendons
Sutures
Extremities
Humerus
Tenotomy
Suture Techniques
Bone and Bones
Mandrillus
Standard of Care
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Su, Wei-Ren ; Ling, Florence Y. ; Hong, Chih Kai ; Chang, Chih Hsun ; Lin, Cheng-Li ; Jou, I. Ming. / Subpectoral biceps tenodesis : a new technique using an all-suture anchor fixation. In: Knee Surgery, Sports Traumatology, Arthroscopy. 2015 ; Vol. 23, No. 2. pp. 596-599.
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Subpectoral biceps tenodesis : a new technique using an all-suture anchor fixation. / Su, Wei-Ren; Ling, Florence Y.; Hong, Chih Kai; Chang, Chih Hsun; Lin, Cheng-Li; Jou, I. Ming.

In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 23, No. 2, 01.01.2015, p. 596-599.

Research output: Contribution to journalArticle

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