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Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii.


ABSTRACT: When the long head of the biceps tendon is diseased, tenodesis is an appropriate treatment strategy. The specific technique used is dependent on visualization, fixation method and hardware, and tenodesis location. For suprapectoral tenodesis techniques, those that fix the tendon within or below the bicipital groove can be challenging owing to the transverse humeral ligament covering the groove. To accurately identify the biceps tendon in this area, the ligament often requires resection. Ultrasound provides surgeons with a safe and noninvasive tool to visualize the biceps tendon as it exits the bicipital groove, negating the need for unroofing and other pitfalls associated with traditional techniques. This technical note describes an ultrasound-guided suprapectoral biceps tenodesis procedure.

SUBMITTER: Andersen WJ 

PROVIDER: S-EPMC7768307 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii.

Andersen Wyatt J WJ   Barcelos Matheus M   de Paiva Raffaelli Maurício M   Hirahara Alan M AM  

Arthroscopy techniques 20201221 12


When the long head of the biceps tendon is diseased, tenodesis is an appropriate treatment strategy. The specific technique used is dependent on visualization, fixation method and hardware, and tenodesis location. For suprapectoral tenodesis techniques, those that fix the tendon within or below the bicipital groove can be challenging owing to the transverse humeral ligament covering the groove. To accurately identify the biceps tendon in this area, the ligament often requires resection. Ultrasou  ...[more]

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