Simple Soft Tissue Biceps Tenodesis

ABSTRACT: This article describes a simple all soft tissue technique for arthroscopic long head of the biceps tenodesis to the subscapularis tendon using posterior and anterior portals. The technique uses a PDS suture that assists in passing a braided suture through both the biceps tendon and the subscapularis to allow for the desired tenodesis. This technique is simple, safe, efficient, and less costly than other techniques. Technique Video Video 1 Technique video demonstrating all arthroscopic soft tissue biceps tenodesis to the subscapularis using braided suture. A left shoulder is depicted in this video. In the lateral decubitus position, standard posterior and anterior portals are established. Viewing from the posterior portal, a diagnostic arthroscopy is performed. The biceps tendon is inspected for pathology. A 5.75-mm smooth cannula is inserted through the rotator interval. A suture-passing device is used to pierce the biceps tendon and a PDS suture is unloaded into the glenohumeral joint. Next, through the anterior cannula, a tissue-piercing device is penetrated through the subscapularis and the unloaded PDS suture in the joint is retrieved. Creating a loop with the PDS, a braided suture is strangulated in this loop and then shuttled through the biceps and subscapularis tendons. Electrocautery or a bovie is used to release the biceps tendon. The ends of the suture are tied using arthroscopic knots, and these ends are cut using an arthroscopic suture cutter. The tenodesis is confirmed with gentle range of motion of the joint.

SUBMITTER: Stapleton E 

PROVIDER: S-EPMC9705716 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature