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Arthroscopic biceps tenodesis video

arthroscopic biceps tenodesis video Dr. Savoie III, MD, UNITED STATES International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Fellowship Info Videos. Currently loaded videos are 1 through 10 of 10 total videos. Simple Technique for Arthroscopic Biceps Tenodesis . Arthroscopic biceps tenodesis is a feasible option for surgical management of biceps tendon pathology, and it may have advantages over open tenodesis and open or arthroscopic tenotomy. 1-10 of 10. Guillermo R. 1 Although simple tenotomy is a minimally invasive and easily performable arthroscopic technique, a tenodesis is recommended to prevent distalization of the biceps muscle. First page loaded Twenty-three patients had open subpectoral biceps tenodesis and 15 received all-arthroscopic suprapectoral biceps tenodesis. Debriding the rotator cuff tendons before a repair is included with the repair code. Click on Icon to the Right to Watch a Right Shoulder Biceps Tenodesis. Biceps Tenodesis Biceps tenodesis is a method of re-attaching the top end of the biceps tendon to a new location. 2003 Oct;34(4):499-506. chnical problems. 30. Khalfayan, M. 5 years (range 2-9. Stephen Brockmeier, MD, (Charlottesville, VA) demonstrates his arthroscopic suprapectoral biceps tenodesis technique using a cortical button. 1177/0363546508322179 . Tenodesis using the Q-FIX All-Suture Anchor in a cinching lasso loop technique to treat Long Head Biceps Tendon (LHBT) pathology. Instructional Video. A biceps tenodesis is a surgical procedure performed for the treatment of a damaged proximal long head of biceps tendon. Lintner Matt Holland, PT and Nathan Hironymous, PT. 2004;20(2):206-213. First page loaded, no previous page available Dr. In nine patients, loose bodies were also present in the bicipital groove; seven of these underwent an open bicipital debridement and tenodesis. 7-fold increase between 2008 and 2011. Bicep Tenodesis | Southern California Orthopedic Institute This is a video illustrating the loop ‘N’ tack biceps tenodesis, in a left shoulder an all-arthroscopic, intra-articular technique used to treat biceps tendinopathy. At the shoulder, the biceps tendon runs in a groove on the bone of the humerus (arm), makes an almost 90-degree turn, enters the shoulder joint between subscapularis (front) and supraspinatus (top) rotator cuff tendons Share Dr. In this procedure, the Long Head of Biceps (LHB) tendon is reattached to the top of the humerus, relieving pain, discomfort and Arthroscopic biceps tenodesis is indicated for the treatment of severe biceps tendinopathy, partial or full thickness biceps tendon tears or biceps instability typically associated with rotator These portals can be used for additional anchor insertion, along with additional instrument passing and knot tying as necessary. In this procedure, the Long Head of Biceps (LHB) tendon is reattached to the top of the humerus, relieving pain, discomfort and The long head of the biceps is a frequent pain generator in the shoulder. The biceps muscle is important for bending the elbow and supinating the forearm (rotating the hand to the palm up position). Trenhaile SW. Arthroscopic biceps tenodesis. Arthroscopic scissors inserted via small pucture hole in skin and cutting the LHB (arthroscopic view on the right) The biceps tendon originates from the top of the shoulder socket (the glenoid) and exits through a bony depression known as the biceps groove. Arthroscopic biceps tenodesis. 2), and the mean Simple Shoulder Test was 11. The physician reserves the right to either advance or delay this protocol as deemed necessary. biceps tenodesis. The average follow-up time was 4. Int Orthop. Eran Maman, MD, ISRAEL. BICEPTOR Tenodesis System: Arthroscopic Biceps Tenodesis. Video of arthroscopic biceps tenodesis performed for a partial tear of the biceps tendon. Felix H. Proximal subpectoral arthroscopic tenodesis is performed with a patient in the beach-chair position for the left shoulder. Lateral Procedure for Recurrent Shoulder Instability . Failure due to recurrent pain has been described, and recent data suggests that leaving the biceps in the groove or not releasing the biceps sheath may increase the risk of failure. You can remove the sling as you wish but it is recommended that you wear it to stop you lifting or carrying with the operated arm A 'popeye' biceps deformity may occur. 6. 1, 2 Although simple tenotomy provides good results for shoulder pain, tenodesis may achieve superior results in terms of strength, pain reduction Biceps Tenodesis . Marko Nabergoj, MD, SLOVENIA. 9-mm PushLock anchor; Arthrex). Biceps tenodesis is a procedure during which the surgeon cuts the attachment of the biceps tendon to the labrum (cartilage around shoulder socket) and reattaches it to the humerus (upper arm bone). presents a video of an arthroscopic biceps tenodesis performed for a partial tear of the biceps tendon.   The biceps tendon can become irritated and inflamed as an isolated problem or in association with problems such as impingement syndrome and rotator cuff tears. Biceps Tenodesis Surgical Technique Animation An animated video of a bicep tendonitis surgical technique. 2 There are a number of open and arthroscopic approaches to proximal biceps tenodesis, namely soft tissue tenodesis, subpectoral or suprapectoral tenodesis, or tenodesis within the bicipital groove. nih. Reverse shoulder replacement, arthroscopic rotator cuff repair, shoulder injections, arthroscopic Bankart repair, superior labral repair and shoulder capsular release are the shoulder procedures performed by Dr Grant Garcia in Seattle, Bellevue, Everett, and Kirkland, WA. . 13-16 Drakos et al. This is "Arthroscopic Rotator Cuff Repair & Biceps Tenodesis Video - Dr Hartzler" by OI on Vimeo, the home for high quality videos and the people who… D. Surgical treatment of lesions of the long head of the biceps Surgery Theater, with more than 12,000 educational surgery videos, is the world’s first online social medical video sharing for all health care professionals. Scott W. ©Hawkins Foundation 2012 Browse more than 12,000 surgery videos and save your favorites for free. Kevern MA. Versatile Repair Methods: Option for all-arthroscopic or mini open technique "Tenotomy versus tenodesis in the management of pathologic lesions of the tendon of the long head of the biceps brachii". Disorders of the long head biceps tendon are among the most challenging of shoulder problems to diagnose and manage. This Technical Note describes arthroscopic biceps tenodesis in the bicipital groove by a bicortical drilling technique. 2010. Stefan Tolan with the Steadman Hawkins Clinic of the Caolinas walk us though an Athoscopic Biceps Tenodesis sugey. The surgery is referred to as Arthroscopic Biceps Tenodesis. chnical problems. The proposed advantages Most private insurance carriers are currently covering this service. Arthroscopic Biceps Tenodesis (Intraarticular - HIGH in the groove). About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators Dr. Chris Jones Colorado Springs, CO. The benefit of reattaching the tendon below the bicipital groove is restored function and decreased pain. A biceps tenodesis is a type of surgery used to treat a tear in the tendon that connects your biceps muscle to your shoulder. Operative treatment options All cases with CPT codes 29827 (arthroscopic rotator cuff repair [RCR]) and either 23430 (tenodesis of long tendon of biceps) or 29828 (arthroscopic biceps tenodesis) were selected. It is connected by tendons to bones in the shoulder and elbow on either side. 1-10 of 10. He uses a Loop ‘N’ Tack stitch to secure the biceps tendon and fixes the tendon to the bone with the Proximal Tenodesis Button. Shoulder: Orthopedics | Biceps tenodesis maintains the cosmetic appearance and length-tension relationship of the biceps with an associated predictable clinical outcome compared with tenotomy. -----Technology Comes to Life with Smith+Nephew Virtual Experience Share Dr. Biceps tenodesis is a surgical procedure performed for severe injury of biceps tendon, partial or full-thickness biceps tendon tears, or biceps instability with rotator cuff tear. Physical therapy may be recommended after a week or two to maximize the range of motion and shoulder strength. After surgery, your arm will be placed in a sling for a total of four weeks to protect the tenodesis site. It is no means intended to be a substitute for one’s clinical decision o Passive biceps x6 weeks (AAROM; no tenotomy or tenodesis) o Active shoulder retraction o Shoulder PROM progression No motion x2 weeks Passive flexion 0°-90° from weeks 2-4, then full External rotation 0°-30° from weeks 2-4, then full Avoid internal rotation (thumb up back) until 8 weeks post-op In young and physically demanding patients, biceps tenodesis is advised, in which the biceps tendon is cut from the native origin and fixed distally. 1-15 of 15. As Rehabilitation after Sub-Acromial Decompression and Biceps Tenodesis Dr Keith Holt The primary aims of any rehabilitation protocol for biceps tendon tenodesis are firstly, to get the tendon healed, and secondly, to maintain shoulder motion and rotator cuff strength. Arthroscopic Suprapectoral Biceps Tenodesis with Dual Expansion PEEK Anchor and Bone Socket Fixation. Two options for injuries to the biceps include a biceps tenotomy (cutting of the biceps tendon) and biceps tenodesis (cutting the tendon and reattaching to the humeral head of the shoulder). It may help prevent muscle spasm and scarring by re-establishing muscle length. Henry - Arthroscopic SupraPec Biceps Medium Full-Thickness Rotator Cuff Repair, SAD, DCR, and Biceps Tenodesis - Dr. Suprapectoral versus Intra-Articular Biceps Tenodesis: A Comparison of Clinical Outcomes. Peter Millett. Arthroscopic Biodegradable Spacer as a Treatment Alternative for Massive Rotator Cuff Tears: A Summary of Three Prospective Cohort Studies. 2 There are a number of open and arthroscopic approaches to proximal biceps tenodesis, namely soft tissue tenodesis, subpectoral or suprapectoral tenodesis, or tenodesis within the bicipital groove. First page loaded, no previous page available Dr. The Cinch Loop Technique is an all-arthroscopic procedure for Biceps . Arthroscopic biceps tenodesis is the suturing of the biceps tendon to the bone through very small incisions. Arthroscopic biceps tenodesis is indicated for the treatment of severe biceps tendonopathy, partial- or full-thickness tendon tears, or biceps instability typically associated with rotator cuff tear. The Cinch Loop Technique is an all-arthroscopic procedure for Biceps . This is generally minimal and does not inconvenience the sedentary person. Henry - Arthroscopic SupraPec Biceps Currently loaded videos are 1 through 10 of 10 total videos. 7 (standard deviation, 5. , Robert Hanna, P. Download Shoulder Arthroscopy Biceps Tenodesis Rehab Protocol. Tehrany believed it would be the most effective treatment considering the level of pain the patient suffered as a result of the labrum’s instability. What It Treats. This procedure is more often done with younger and more active patients because it is considered to be more stable, and it carries less chance of a Popeye deformity. In isolation, open LHB tenodesis was the more common technique overall and by year. Your Name Recipient Email By Grant Garcia 50 Videos FEATURING Grant Garcia. Biceps tendon is the band of connective tissue that connects biceps muscle to the shoulder socket. There was a significant increase in the utilization of LHB tenodesis from 2011 to 2014. The Quattro Bolt Tenodesis Screw provides solid, tendon-in-socket fixation for biceps tenodesis. D. So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge , feel free to browse, learn, share and discuss all for FREE. The new attachment site is designed to prevent the biceps tendon from slipping out of its groove and causing patients ongoing irritation and pain. Here is a surgical demonstration from Smith and Nephew: By removing the biceps, this essentially eliminates the patient’s pain from the SLAP lesion or biceps tendonitis, however at what consequence? Acromioclavicular Joint (AC Joint) Adhesive capsulitis Arthritis Arthrodesis Arthroscopy Avascular necrosis Biceps Biceps rupture Biceps tear Biceps tenodesis Brachial plexus Bristow Calcific tendonitis clavicle Coracoid Coronoid fracture Elbow Elbow arthroscopy Elbow injury Elbow MCL Elbow pain Elbow prosthesis Elbow replacement Elbow A biceps tenodesis is designed to release the biceps tendon from inside the shoulder and then reattach it to the humerus. ,14 and O’Brien et al. Arthroscopic This minimally-invasive surgical procedure is used to repair a rupture or partial tear of the biceps tendon in the shoulder, or to treat chronic tendinitis. Healing after Technique for Arthroscopic Long Head of Biceps Tenodesis Using Anchor With Fork Tip Eyelet Jack Daoud, M. Stefan Tolan with the Steadman Hawkins Clinic of the Carolinas who walk us through the whole procedure, and explains carefully the actions taken, to ensure Video of arthroscopic biceps tenodesis performed for a partial tear of the biceps tendon. Dr. A suture is looped around the biceps tendon just distal to the labral insertion. Trenhaile from Rockford, IL. Failed biceps tenodesis is usually recognized with persistent pain in the area of the bicipital groove, often caused by either the mechanical failure of the tenodesis or associated shoulder pathology that is not addressed at the time of the primary surgery. CPT Codes: 29826, Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure) 29823, Arthroscopy, shoulder, surgical; debridement, extensive 23430 Tenodesis of long tendon of biceps End of the biceps tenodesis surgery. https://pacmedical. Franchesci F. Henry - Arthroscopic SupraPec Biceps Failure due to recurrent pain has been described, and recent data suggests that leaving the biceps in the groove or not releasing the biceps sheath may increase the risk of failure. Interesting Shoulder Case. The animation is presented in a 'neat' format, without audio or text overlays. There is poor agreement between contemporary surgeons in the classification and treatment of SLAP lesions. Surgical Videos Dr. It includes both arthroscopic findings and open intraoperative recording of the authors' subpectoral biceps Title: Microsoft Word - Subacromial Decompress with Biceps Tenodesis 10. Methods: Technique: The principle of arthroscopic biceps tenodesis is simple: after biceps tenotomy, the tendon is exteriorized and doubled on a suture; the biceps tendon is then pulled into a humeral socket (7 or 8 mm 25 mm) drilled at the top of the bicipital groove, and fixed using a bioabsorbable interference screw (8 or 9 mm 25 mm) under Currently loaded videos are 1 through 10 of 10 total videos. However, there is little information comparing outcomes between the 2. Henry - Arthroscopic SupraPec Biceps The careful examination revealed a torn rotator cuff, labrum tear, and biceps tear. He also offers treatment for cubital tunnel syndrome and tennis elbow. 9-mm PushLock anchor; Arthrex). A biceps tenodesis can be done arthroscopically. The biceps tendons are tight stripes of tissue that connect shoulder muscles to bones and allow arm movement. Arthroscopic Subscapularis Repair Recovery and Rehabilitation. Trenhaile covers the basics of biceps anatomy, function and pathophysiology followed by a step-by-step walkthrough of an arthroscopic biceps tenodesis. Surgery Theater, with more than 12,000 educational surgery videos, is the world’s first online social medical video sharing for all health care professionals. Study design: Case series; Level of evidence, 4. March 29, 2020 Arthroscopic Suprapectoral Biceps Tenodesis Arthroscopic Biceps Tenodesis With Rotator Cuff The video is about arthroscopic biceps tenodesis with key-hole Toulouse technique. 1 Although simple tenotomy is a minimally invasive and easily performable arthroscopic technique, a tenodesis is recommended to prevent distalization of the biceps muscle. Greiwe Presentation (2019): Biceps Tenodesis on Facebook ; Currently loaded videos are 1 through 15 of 15 total videos. The biceps is reproducibly fixed at physiologic length tension relationship using anatomic landmarks, and anterior pain generators can be addressed by releasing the biceps sheath during tenodesis. N. Scott Trenhaile Pre-Operative Knee Arthroscopy teaching Lake Effect Shoulder Brace ST Instructions Preoperative Total Shoulder Instructions Shoulder Arthroscopy Preoperative Instructions Exercises to Address Shoulder Pain and Rotator Cuff Injuries Shoulder Arthroplasty: Full Thickness Repair Watch the video here. ) Table 1 Dr Christopher Kilian in Milwaukee, Waukesha and Brookfield performs arthroscopic biceps tenodesis, total, reverse and revision shoulder replacement surgeries. Thus, Dr. Tenodesis of the long head of the biceps tendon (subpectoral). This group was divided into those who also had biceps tenodesis (cutting and reimplanting) compared to those who did have tenodesis at the time of their rotator cuff repair. He presents a case in which he used a suprapectoral onlay technique with a knotted and knotless FiberTak ® suture anchor. It is important to realize that while the fixation is very strong, the repetitive use of your arm resulting in bending your elbow up and down will put stress on the repair site as it heals. Video 1 Revision procedure after the failed Latarjet procedure with the simultaneous arthroscopic Eden-Hybinette procedure, trans-subscapular transfer of the long head of the biceps, anterior labroplasty, capsular remnant refixation, and remplissage. The American Journal of Sports Medicine 37 (4): 828–33. 5-mm LabralTape (Arthrex, Naples, FL) lasso loop technique and a single 2. Warner call (617)-724-7300 Arthroscopic Biceps Tenodesis The biceps is a large skeletal muscle of the upper arm that flexes the elbow to lift the forearm, and is also responsible for some shoulder movements. With the patient in a lateral decubitus position, an arthroscope is placed in the subacromial space in the right shoulder through a posterolateral viewing portal. Therefore, we present two methods, both arthroscopic and open, to perform a biceps tenodesis that involves removing the long head of the biceps from the bicipital Video 1. First page loaded, no previous page available Dr. gov Arthroscopic Rotator Cuff Healing Response; Arthroscopic Rotator Cuff Repair; Arthroscopic Rotator Cuff Repair (Conservative) Arthroscopic SLAP Repair Program; Biceps Tenodesis; Double Bundle PCL Reconstruction; Fibular Collateral Ligament Reconstruction; Glenoid/ Humeral Head Microfracture; Hip Arthroscopy Rehabilitation Protocol; Knee Arthroscopy The attachment of the biceps tendon to the labrum is cut, then re-attached to the humerus bone outside of the shoulder joint, thus removing the pressure from the labrum and/or biceps tendon. Biceps Tenodesis Discussion Tom Clement Ludvigsen, MD, NORWAY Klaus Bak, MD, DENMARK Felix H. A small incision (2-3cm) is made over the front of the shoulder to reveal the biceps tendon: 5. The senior author (K. Biomechanical Comparison of Two Arthroscopic Suprapectoral Biceps Tenodesis: Interference Screw and Suture Anchor. If you are interested just obtain a prescription from your physician and call the direct line at (315) 824-1252. Biceps tenodesis is a surgical procedure used to reduce pain in the shoulder and surrounding area. ) Fig 7. Noyes, MD , and Patrick J. Arthroscopic Rotator Cuff Repair Protocol hand AROM (unless biceps tenodesis performed at time of RTCR) 3D Videos. mp4 Biceps tenodesis is a procedure during which the surgeon cuts the attachment of the biceps tendon to the labrum (cartilage around shoulder socket) and reattaches it to the humerus (upper arm bone). Stefan Tolan with the Steadman Hawkins Clinic of the Carolinas walk us through an Arthroscopic Biceps Tenodesis surgery. Arthroscopic Stabilization of the AC Joint. Open Subpectoral Biceps Tenodesis: Interference Screw Fixation. This system has been designed to accommodate fully arthroscopic or mini-open biceps tendon repair and utilizes Smith & Nephew's BIOSURE PK Interference Screws. During a biceps tenodesis procedure, the surgeon cuts the attachment of the biceps tendon from the labrum and reattaches it to the humerus bone by tacks. If these two Recently, arthroscopic tenodesis of the long head of the biceps has been increasingly performed in combination with rotator cuff repair. Jump up ^ Mohana-Borges AV, Chung CB, Resnick D (December 2003). 2, 3 In particular, bony fixation tenodesis We present a simple surgical technique for all-arthroscopic tenodesis of the long head of the biceps above the pectoral major insertion and at the top of the biceps groove using a 1. ion strength, and improves cosmesis. The results showed a PDF | Biceps tenodesis is a common treatment for pathology of the long head of the biceps tendon. The procedure is usually performed by a minimally invasive technique called arthroscopy, in which a viewing tube and miniature instruments are inserted A biceps tenodesis is recommended to treat biceps tendon tears, inflammation or instability accompanied by injury to the rotator cuff muscles that surround and support the shoulder joint. The long head of the bicep passes through the shoulder joint and attaches to the labrum. Lesions of the long head of biceps (LHB) often lead to anterior shoulder pain. Download PDF. Matthew Pifer Massive Rotator Cuff Repair with Augmentation - Arthroscopic Subscapularis and Rotator Cuff Repair- Arthroscopic Biceps Tenotomy or Tenodesis. Operative treatment options Purpose: To report an average of 2-year outcomes of an all-arthroscopic biceps tenodesis employing the stay sutures from the anterolateral anchor during concomitant double-row rotator cuff repair (RCR). Alvaro Villagomez Plus 3D Animation created for Arthrex to illustrate key aspects of the Subpectoral Biceps Tenodesis in which the long head biceps is reattached to the intertubercular groove of the humerus, using a minimally invasive arthroscopic technique. The loop around the tenodesis of long head of biceps tendon is made by the remnant strands of FiberWire of lateral anchor if tenodesis is needed. The best technique for a biceps tenodesis procedure depends primarily on other conditions being treated within the shoulder joint. NYU This technical note describes another method of biceps tenodesis called the Modified Norwegian Method (MNM) that is an all-arthroscopic, intra-articular, bony biceps tenodesis that uses a suture shuttle passed with the SutureLasso passer (Arthrex, Naples, FL) through a anterosuperolateral portal. Many different arthroscopic and open techniques have been described to address these pathologies. Share this page. 2 There are a number of open and arthroscopic approaches to proximal biceps tenodesis, namely soft tissue tenodesis, subpectoral or suprapectoral tenodesis, or tenodesis within the bicipital groove. The BICEPTOR Tenodesis System brings an efficient and adaptable approach to repairing the biceps tendon. Fellows List. Denard, MD The American Journal of Sports Medicine 2020 48 : 12 , 3051-3056 CPT Codes: 29827, Arthroscopy, shoulder, surgical; with rotator cuff repair 23430 Tenodesis of long tendon of biceps 0 Shoulder Arthroscopy, Subscapularis Repair, Open Biceps Tenodesis pubmed. 5% were open and 56. It is usually performed for the A biceps tenodesis is a common surgical choice for people who are over 40 years of age or those who have associated biceps tendonitis or tearing. Hubbard, MD, an orthopaedic surgeon at Wake Forest Baptist Medical Center, performs an arthroscopic rotator cuff repair and bicep tenodesis on a right shoulder. Rates of both open and arthroscopic biceps tenodesis varied significantly among the Midwest, South, Northeast, and West regions (P = . BICEPTOR Tenodesis System: Arthroscopic Biceps Tenodesis. Many different arthroscopic and open techniques have been described to address these pathologies. Educational Overview for Tunneling The complete paradigm for Transosseous Tunneling with basic science, clinical, and historical perspectives • Arthroscopic Transosseous Rotator Cuff Repair Summary and Technical Solutions Shoulder Exercise Video. Surgery for a diseased biceps tendon is needed in about 25% of patients with a rotator cuff tear. 16 This same study found a rising incidence of arthroscopic tenodesis during the same time. 8 years). McLaughlin performing an acromioplasty and rotator cuff repair. D. This entity was founded in 2000 for the purpose of improving shoulder care using patient education and transparency in outcomes reporting. Sam Akhavan, MD, (Pittsburgh, PA) presents the Loop ‘N’ Tack™ biceps tenodesis technique for arthroscopic intra-articular biceps tenodesis. Moreover, tendon tears, also known as biceps tenodesis, can cause a grinding sensation and unpleasant discomfort. 1 years). The video also shows Dr. Walch G, Edwards TB, Boulahia A, et al. Singleton SB. Biceps tendonitis, also known as a biceps tendon tear at the shoulder, occurs due to either abrupt injury, or over time through overuse. Biceps Tenodesis. The results of biceps reinsertion are disappointing compared with biceps tenodesis. The white arrow is the drill hole from the biceps tenodesis. Krishnan 13:05. Recovery after Proximal Biceps Tenodesis After the procedure, you may be given pain medicine for a few days to keep you comfortable and your shoulder will be supported by a sling for about a month. If the treating physical therapist; needs to learn more about biceps tenodesis and rehabilitation we recommend reading: Krupp RJ. Giovanni Di Giacomo, MD, ITALY https://pacmedical. To detach the long head of the biceps tendon after tenodesis or not: Outcome analysis at the 4-year follow-up of two different techniques. Shoulder series surgical technique guide. In this Technical Note, we introduce an arthroscopic technique for proximal biceps tenodesis high in the groove at the articular margin of the humeral head using a single anchor and 2 self-cinching loops followed by 5 alternating half-hitches to secure the construct. Biceps Tenodesis is a minimally-invasive surgical procedure. Jeffrey Klauser demonstrates his surgical approach for Supra Pectoral Arthroscopic Biceps Tenodesis using the MICRORAPTOR Knotless suture anchor. Dr. Suprapectoral Biceps Tenodesis. 1-10 of 10. McLaughlin repairing an L-Shaped rotator cuff tear. Arthroscopic transtendinous biceps tenodesis with all-suture anchor. Arthroscopic view of the left shoulder, with the patient in the beach-chair position and the 30 arthroscope in the anterior portal, showing the completed combined sub-scapularis tendon (SSc) repair and biceps tenodesis. Patients with unsatisfactory results can be treated with conversion to a biceps tenodesis. 13-20 Biceps tenodesis, associated with or without rotator cuff re-pair, is a common and well-accepted open surgical procedure. The tendon itself can either tear partially or entirely. Share via Email. It can be a problem for active and athletic people, where a biceps tenodesis is generally preferred. Arthroscopy. Structural Outcome of Fascia Lata Autograft after Arthroscopic Superior Capsule Reconstruction. Kotara S. The purpose of this study was to evaluate the clinical and radiographic outcomes of isolated arthroscopic biceps tenotomy or tenodesis as treatment for persistent shoulder pain and dysfunction due to an irreparable rotator cuff Arthroscopic Rotator Cuff Repair Exercises Weeks 1-3 Pendulum Hangs AROM elbow/wrist/hand Passive forward elevation (PFE) in the plane of scapula to 90 -100 Call us today! For Dr. The biceps is watched as it exits joint to make sure it is not hourglass deformity and gets stuck in the joint. Physical therapy may be recommended after a week or two to maximize the range of motion and shoulder strength. Commercially distributed worldwide by Arthroscopy to repair a proximal ruptured biceps tendon is performed in a hospital operating room under general anesthesia. S. tendon, with either tenotomy or tenodesis. A biceps tenodesis may be performed as an isolated procedure but more often is part of a larger shoulder surgery, such as a rotator cuff repair. 9-mm BioComposite interference screw (2. Prescriptions can be faxed to (315) 824-3010. Several authors have described various arthroscopic | Find, read and cite all the research you Biceps tenodesis, as well as acromioplasty and direct tenodesis, are two common procedures that allow surgeons to repair the tendon with minimal incisions. D. Orthop Clin North Am. Akihiko Hasegawa, MD, PhD, JAPAN Answer: From a CPT coding perspective, because the biceps are tenotomized at the time of the debridement, only the debridement should be reported. The purpose of this protocol is to provide the clinician, therapist, and patient with a GUIDELINE of the postoperative rehabilitation course of a patient that has undergone a Biceps Tenodesis for biceps dysfunction. Failed biceps tenodesis is usually recognized with persistent pain in the area of the bicipital groove, often caused by either the mechanical failure of the tenodesis or associated shoulder pathology that is not addressed at the time of the primary surgery. Currently loaded videos are 1 through 10 of 10 total videos. Minimally Invasive Solutions for Sports Injuries. 16. 2007 Aug;31(4):537-45. A biceps tenodesis is recommended to treat biceps tendon tears, inflammation or instability accompanied by injury to the rotator cuff muscles that surround and support the shoulder joint. 2, 3 In particular, bony fixation tenodesis If the biceps is partially ruptured or subluxated and the proximal end is still visible in the joint, a biceps tenodesis can be performed using standard arthroscopic techniques and suture anchors. In this guide, Dr. The anatomy of the subclavian portal is reviewed and the technique of the arthroscopic biceps tenodesis is presented. All of that debridement is part of the tenodesis procedure. Tendinopathy of the long head of the biceps may be treated with biceps tenodesis. Purpose Biceps Tenodesis Recovery. In this technical note, we describe a novel technique for an arthroscopic biceps tenodesis. As many as 92% of patients undergoing arthroscopic biceps tenodesis have rotator cuff pathology and nearly 73% undergo concomitant rotator cuff repair. ,13 Verma et al. is the Founder and Director of the Boston Shoulder Institute. Overall, 8547 patients underwent LHB tenodesis, of which 43. The surgeon will make several small incisions, about ¼ inch each, to the shoulder area. After diagnostic arthroscopy, the arthroscope is moved to the subdeltoid space. A biceps tenodesis may be performed as an isolated procedure but more often is part of a larger shoulder surgery, such as a rotator cuff repair. The use of biceps tenodesis has increased recently, with Werner et al reporting a 1. He is frequently updating his surgical video database so check back soon for further updates. Tehrany diagnosed the patient with a glenoid labrum injury and recommended proceeding with an arthroscopic biceps reconstruction. Millett recommended that John undergo minimally invasive arthroscopic surgery to repair both the torn rotator cuff tendons and the biceps injury. “John’s goal was to be pain-free and able to perform without any side-effects from his shoulder injury and biceps tendon injury, as well as concurrent surgery. , Dany Aouad, M. Arthroscopic Biceps Tenodesis is done to treat bicep tendonitis, a tear in the tendon that connects your bicep to your shoulder, or a SLAP Biceps Tenodesis . Biceps Tenodesis is a minimally-invasive surgical procedure. Biceps Tenodesis has several advantages over tenotomy, including: “length-tension of the biceps brachii is maintained, and associated muscle Arthroscopic Biceps Tenodesis Learn about Biceps Tenodesis Arthroscopy. D. A biceps tendon procedure is only performed if there is a problem with the biceps tendon which is felt to be significant enough to remain a source of shoulder pain after rotator cuff surgery. ) developed the subclavian portal in 1997 for arthroscopic repair of rotator cuff tears using a pointed suture grasper. Brian M Godshaw, MD, UNITED STATES. Implants are available with suture eyelets or closed eyelets for surgeons who prefer a whipstitching technique, and forked eyelet versions are offered for an all-arthroscopic approach. D. International Update on Surgical Controversies of the Shoulder Pre-Course | Biceps & AC Joint : Discussion. The Biceps tenodesis is usually performed arthroscopically and may be combined with acromioplasty, another surgical procedure often used to treat biceps tendonitis. Kevern MA. Arthroscopic biceps tenodesis is a procedure indicated for the treatment of severe biceps tendonopathy, partial- or full-thickness tendon tears, or biceps instability typically associated with rotator cuff tear. This particular treatment for torn biceps is particularly useful in patients over the age of 35. Below the shoulder, the tendon becomes the long head of the biceps muscle; thus, the biceps muscle, which functions to flex the elbow and rotate the forearm, is anchored in the shoulder region. Tehrany shared a video of the surgery. Nikhil N. Browse more than 12,000 surgery videos and save your favorites for free. Patients with unsatisfactory results can be treated with conversion to a biceps tenodesis. nlm. Arthroscopic repair of a painful, damaged, and dislocated biceps tendon by Dr. The tenodesis may be performed alone or as part of a larger procedure Biceps tenodesis can be performed in a variety of ways with different sized anchors and at different locations (suprapectoral or subpectoral). 57mm of tendon motion (Table 1, Figure 3). There has been great debate about the optimal technique for biceps tenodesis, without a clear distinction between different techniques. Biceps tenodesis fixation may include interference fixation, suspensory fixation, all-suture anchors Arthroscopic Proximal Biceps Tenodesis is a new interactive technique guide featuring Dr. 1, 2 Although simple tenotomy provides good results for shoulder pain, tenodesis may achieve superior results in terms of strength, pain reduction Mr Noorani carried out an arthroscopic subacromial decompression along with a long head of the biceps subpectoral tenodesis to Andriy’s right shoulder in January 2020, which aimed to improve/restore the position of Andriy’s shoulder and to improve the chance of him having a better functioning shoulder in the long term. Verma, MD (Chicago, IL), discusses applications and treatment options for arthroscopic proximal biceps tenodesis. To help everyone understand the flow of the arthroscopic repair of several shoulder injuries, Dr. The Quattro Bolt Tenodesis Screw provides solid, tendon-in-socket fixation for biceps tenodesis. Arce, MD 48951-00 [1400] Arthroscopic decompression of subacromial space Biceps tenodesis Biceps tenodesis is a procedure that cuts the normal attachment of the biceps tendon on the labrum and reattaches the tendon to the bone of the humerus. doi : 10. Biceps Tenodesis has several advantages over tenotomy, including: “length-tension of the biceps brachii is maintained, and associated muscle A biceps tenodesis is typically done when there is significant chronic long head of the biceps dysfunction either along its length or from its labral attachment. After the biceps tenodesis surgery, physical therapy will be required. He has prepared a number of surgical videos below to help patients better understand their procedures. When this attachment is torn, it is a so-called SLAP tear of the shoulder. • Taking the biceps tendon slightly off tension results in decreased motion of the tendon within the bicipital groove We present a simple surgical technique for all-arthroscopic tenodesis of the long head of the biceps above the pectoral major insertion and at the top of the biceps groove using a 1. CPT Codes: 29827, Arthroscopy, shoulder, surgical; with rotator cuff repair 29824, Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (mumford procedure) 29828, Arthroscopy, shoulder, surgical; biceps tenodesis 29826 Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch 46 Current Techniques for Biceps Tenodesis 47 Long Head of the Biceps Tenodesis: Proximal Soft Tissue Fixation Without Anchors 48 Disorders of the Biceps Labral Complex: Arthroscopic Sub-Deltoid Tenodesis 49 Long Head of the Biceps Tendon Tenodesis: Subpectoral (Distal) Technique 50 Failed SLAP Tear: Diagnosis and Management Biceps tenodesis is a surgical procedure used to treat biceps tendonitis of the shoulder. Savoie III, MD, UNITED STATES. Discussion. ©Hawkins Foundation 2012 About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators Arthroscopic Shoulder Surgery Repairs Torn or Dislocated Biceps Tendon from native position on superior glenoid to new position on proximal humerus using sut Arthroscopic shoulder surgery repairs torn or dislocated biceps tendon from native position on superior glenoid to new position on proximal humerus using suture and suture anchor. It is often indicated in cases of full or partial biceps tendon tears, severe biceps tendinopathy, or biceps instability associated with rotator cuff tears. Tenodesis of the biceps tendon can prevent cosmetic deformity 1 and may preserve strength. Restoring Activity through Rotator Cuff Repair. Tenodesis of the biceps tendon can prevent cosmetic deformity 1 and may preserve strength. Scott Trenhaile Pre-Operative Knee ACL Teaching Dr. Study design: Case series; Level of evidence, 4. 009; P = . Tehrany recommended proceeding with immediate arthroscopic surgery to address all injuries. Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears The video below shows Dr. If all conservative measures fail, surgical intervention can results in excellent pain relief. Gaines MD. , and Video 1). Preliminary results of 11 cases with average follow-up of 24 months are presented. Cases that included both 23430 and 29828 were excluded, as were those missing demographic data. Sessions are done via live video and audio with a licensed Physical Therapist. Arthroscopic Anterior Stabilization Protocol Arthroscopic Rotator Cuff Repair Protocol Arthroscopic Rotator Cuff Repair FAQs and Post-Operative Guidelines Biceps Tenodesis Protocol Biceps Tenotomy Protocol Capsular Release and Comprehensive Arthroscopic Management Background: Lesions of the long head of the biceps tendon are often associated with massive rotator cuff tears and may be responsible for shoulder pain and dysfunction. The age of the patient appears to play a significant factor in the surgeons' deciding to treat a SLAP lesion with repair vs. com/wp-content/uploads/2018/11/Biceps-tenodesis-featuring-the-Parcus-SLiK™-Fix-Screw-In-Tenodesis-System-Animation. April 13, 2011 3 Comments . Arthroscopic Rotator Cuff Repair and Bicep Tenodesis: Right Shoulder Overview John B. This video demonstrates an arthroscopic transosseous, suture-based tenodesis technique in the suprapectoral location that avoids using an axillary incision or hard implants for fixation. The incisions are closed with sutures or surgical staples, the shoulder is bandaged, the patient will be given pain relievers and patients should be able to leave the hospital within a day. Savoie III, MD, UNITED STATES International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Biceps tenodesis describes the surgical procedure that is usually performed for the treatment of biceps tendonitis of the shoulder. Arthroscopy & Biceps Tenodesis. For a <2cm size rotator cuff tear, usually only the first 4 portals are utilised. Download PDF. Garcia specializes in complex knee, shoulder and elbow sports surgeries. Wound care as outlined on the Shoulder Arthroscopy Rehabilitation page You have been provided with a sling comfort and to protect the tenodesis. (BT, bi-ceps tendon. If there is continued pain and limited function at the AC joint, or an uncomfortable amount of pain associated with overhead activities (such as throwing, lifting and reaching), a minimally invasive procedure known as arthroscopic AC joint repair can be performed by Dr. , Hisham Abdelnour, M. T. GOALS: No increase pain and swelling, protect healing tissue, restore full PROM, and initiate scapular strengthening. Singleton SB. Used to repair a rupture or partial tear of the biceps tendon in the shoulder. 8% of arthroscopic and 44. Indications for biceps tenodesis include biceps tears involving more than 50% of the tendon, medial biceps subluxation, some superior labral tears, and biceps subluxation combined with a subscapularis tear. The mean University of California–Los Angeles Shoulder Score was 31. Kotara S. Arthroscopy, Bursoscopy and Subacromial Decompression - Left Shoulder Introduction (With Video Illustration) Pathology of the long head of the biceps (LHB) tendon can contribute to substantial shoulder pain in adults and often is managed with either arthroscopic tenotomy or tenodesis when conservative treatment fails. PMID 2264894. 15,16 described arthroscopic subdeltoid transfer of the LHBT to the conjoint tendon. ncbi. the tenodesis site has been excised from its labral insertion. A biceps tenodesis is typically done when there is significant chronic long head of the biceps dysfunction either along its length or from its labral attachment. Arthroscopic scissors inserted via small puncture hole in skin and cutting the LHB (arthroscopic view on the left) 4. View 3D animations to learn more about what biceps tendon in the bicipital groove following Loop ‘N’ Tack biceps tenodesis, with all planes of shoulder and elbow motion resulting in less than 1. The procedure is usually performed by a minimally invasive technique called arthroscopy, in which a viewing tube and miniature instruments are inserted Biceps Tenodesis Discussion Tom Clement Ludvigsen, MD, NORWAY Klaus Bak, MD, DENMARK Felix H. Sometimes, biceps Twenty-seven patients who underwent intra-articular, bicipital groove biceps tenodesis during shoulder arthroscopy were reached via telephone survey (mean follow-up, 3. Methods: This video describes the indications, technique, and results for open subpectoral tenodesis. arthroscopic biceps tenodesis. The unique system preserves tendon integrity with few deployment steps, offering a quick, reliable solution. Arthroscopic Biceps Tenodesis Outcomes: A Comparison of Inlay and Onlay Techniques Georges Haidamous, MD , Matthew P. com/wp-content/uploads/2018/11/Biceps-tenodesis-featuring-the-Parcus-SLiK™-Fix-Screw-In-Tenodesis-System-Animation. Biceps Tenodesis - Landmarks and Diagnostic Arthroscopy By The Shoulder Center at Baylor University Medical Center at Dallas FEATURING Sumant Krishnan July 28, 2008 This video includes landmarks, portal placement, and diagnostic arthroscopy/evaluation of the biceps Arthroscopic Anterior Stabilization Protocol Arthroscopic Rotator Cuff Repair Protocol Arthroscopic Rotator Cuff Repair FAQs and Post-Operative Guidelines Biceps Tenodesis Protocol Biceps Tenotomy Protocol Capsular Release and Comprehensive Arthroscopic Management Video 1. The biceps sheath surrounding the biceps is opened and the tendon is then delivered out of the wound . Login to view comments. Dr. For a larger cuff tear, including biceps tenodesis and or subscapularis tendon repair, all 6 portals are used. Numerous studies have demonstrated the effectiveness of both biceps tenotomy and tenodesis to relieve pain and restore function for the diagnoses of bicipital tenosynovitis, SLAP tears, rotator interval pulley lesions, and failed SLAP repairs. 0-4 Weeks: Hip Exercise Videos Hip Rehab Protocols Hip Studies Hip Conditions Arthritis-Early Stages By Mark Rodosky 2 Videos. 1-10 of 10. Tauro - Arthroscopic SupraPec Biceps Tenodesis Using TenoLok on Facebook ; Currently loaded videos are 1 through 10 of 10 total videos. Jon “JP” Warner, M. The “10-minute” Arthroscopic Biceps Tenodesis Technique By Erik Peterson 4 Videos FEATURING Erik Peterson October 15, 2020 This is an arthroscopic technique for biceps tenodesis that will simplify your arthroscopic shoulder experience . The unique system preserves tendon integrity with few deployment steps, offering a quick, reliable solution. Snyder of Southern California Orthopedic Institute. (HH, humeral head. Several types of techniques and fixation devices have been described and evaluated in biomechanical studies regarding primary stability. Versatile Repair Methods: Option for all-arthroscopic or mini open technique Arthroscopic Rotator Cuff Repair with Mini-Open Subpectoral Biceps Tenodesis Project Description A rotator cuff tear can often be treated without surgery, especially if chronic. It is also frequently performed as a concomitant procedure with This video demonstrates an arthroscopic transosseous, suture-based tenodesis technique in the suprapectoral location that avoids using an axillary incision or hard implants for fixation. 7). Biceps Tenodesis Post-op Protocol 2019-10-21T15:51:25-04:00 his protocol is intended to be a general outline only. The benefit of reattaching the tendon below the bicipital groove is restored function and decreased pain. Therefore, we present two methods, both arthroscopic and open, to perform a biceps tenodesis that involves removing the long head of the biceps from the bicipital Biceps tenotomy is a common procedure performed in arthroscopic shoulder surgery. During the appointment, Dr. Lesions of the long head of biceps (LHB) often lead to anterior shoulder pain. Recovery after Proximal Biceps Tenodesis After the procedure, you may be given pain medicine for a few days to keep you comfortable and your shoulder will be supported by a sling for about a month. If the treating physical therapist; needs to learn more about biceps tenodesis and rehabilitation we recommend reading: Krupp RJ. Used to repair a rupture or partial tear of the biceps tendon in the shoulder. A biceps tenodesis is a surgical procedure performed for the treatment of a damaged proximal long head of biceps tendon. Dr. Gaines MD. Advanced Technologies in Shoulder Replacement open proximal biceps tenodesis,6,7 proximal and distal arthroscopic biceps tenodesis,8,9 subpectoral biceps tenodesis,10-12 and tendon transfer to the conjoint tendon. 5-mm LabralTape (Arthrex, Naples, FL) lasso loop technique and a single 2. Arthroscopic extra-articular biceps tenodesis using Arthrex Biotenodesis interference screw Browse more than 12,000 surgery videos and save your favorites for free. Arthroscopic Biceps Tenodesis Using Interference Screw Feat. mp4 • Hybrid Anchor Tunnel Repair of Rotator Cuff with Biceps Tenodesis • Single Anchor Transosseous Technique. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association 6 (4): 274–9. In our arthroscopic technique, we perform a tenodesis in its in situ position at the inferior portion of the bicipital groove with the biceps tendon Arthroscopic extra-articular biceps tenodesis using Arthrex Biotenodesis interference screw Browse more than 12,000 surgery videos and save your favorites for free. ’ The Arthroscopic Biceps Tenodesis surgery is performed and commented by Dr. 9-mm BioComposite interference screw (2. In this Video Resources - Dr. 5% were arthroscopic procedures. The results of biceps reinsertion are disappointing compared with biceps tenodesis. We found that arthroscopic debridement of the glenohumeral joint and open debridement and tenodesis of the long head of biceps, when indicated, are safe and effective in relieving symptoms at medium Ahmad CS. PHASE I (WEEKS 1-2) Control pain, swelling, and loads placed on healing tissue. Arthroscopic biceps tenodesis can be considered an effective alternative to the repair of a type II SLAP lesion, allowing patients to return to a presurgical level of activity and sports participation. Please review the multimedia presentation "shoulder impingement" prior to watching the video to better understand the procedure. Further study is needed before definitive recommendations regarding indications, complications, and prognosis associated with arthroscopic biceps tenodesis can AC Joint Repair Overview. Commercially distributed worldwide by Endoscopy Division, Smith & Nephew, Inc. The biceps tendon passes through the shoulder joint and attaches to the labrum. Biceps Tenodesis Protocol The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone a Biceps Tenodesis for biceps dysfunction. A recent case report in AJSM actually describes one of the biggest reasons why I am think we really need to question the use of biceps tenodesis in baseball pitchers: A humeral fracture. By doing this, pressure is relieved from the labrum significantly reducing pain. Biceps tenodesis is a minimally invasive surgery in which the surgeon cuts the biceps tendon from the glenoid and reattaches it to the humerus using sutures and screws. 9,14-16,18,20,21 Arthroscopic biceps tenotomy has been proposed for patients with chronic and sig-nificant shoulder pain in the presence of a massive This video demonstrates the authors' preferred technique for subpectoral biceps tenodesis using bone tunnels with suture fixation. Purpose: To report an average of 2-year outcomes of an all-arthroscopic biceps tenodesis employing the stay sutures from the anterolateral anchor during concomitant double-row rotator cuff repair (RCR). The biceps is reproducibly fixed at physiologic length tension relationship using anatomic landmarks, and anterior pain generators can be addressed by Dr. So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge , feel free to browse, learn, share and discuss all for FREE. A biceps tenodesis is a surgical procedure that detaches the biceps attachment from the superior labrum and reattaches it to the humerus. Many methods have been proposed for this. Dines D. Stephen J. When the biceps tendon is damaged and causing pain, a procedure called a biceps tenodesis can be performed to remove the diseased portion and reattach the tendon. Tenodesis using the Q-FIX All-Suture Anchor in a cinching lasso loop technique to treat Long Head Biceps Tendon (LHBT) pathology. A final checking of the reduction status of the GT fracture under fluoroscopy is done as well as direct arthroscopic view of the repaired GT fracture surface in the glenohumeral joint ( Fig 4 C, Video Arthroscopic Biceps Tenodesis Learn about Biceps Tenodesis Arthroscopy. A paper from July 2017 in the prestigious “Arthroscopy” Journal looked at a large group of patients who had arthroscopicrotator cuff repair. Rotator Cuff Repair & Biceps Tenodesis. It is an option when pain is caused by problems with the biceps tendon in the arm. the biceps tendon or the top of its sheath, or both. CONCLUSION: Arthroscopic biceps tenodesis can be considered an effective alternative to the repair of a type II SLAP lesion, allowing patients to return to a presurgical level of activity and sports participation. 24 All-Arthroscopic Superior Capsular Reconstruction with Dermal Allograft 25 Subpectoral Biceps Tenodesis 26 Identifying and Exposing the Proximal Biceps in Its Groove: The "Slit" Technique 27 Arthroscopic Suprapectoral Biceps Tenodesis with Lasso Loop 28 Transosseous Arthroscopic Biceps Tenodesis Arthroscopic suprapectoral techniques for tenodesis of the long head of the biceps tendon (LHB) are appropriate for the treatment of proximal biceps lesions. 1-10 of 10. Afterwards, a double-loaded all-suture anchor is placed under the superior third of the pectoralis major tendon. D. Biceps Tenodesis Rehab Protocol. 007); 49. The procedure entails cutting the long head of the biceps and reattaching the tendon more distally along the humerus. The anchors were inserted through small drill holes, which can help reduce the risk of fracture Dr. 6% of open biceps Let's look at the biceps tenodesis: Performed tenotomy, debrided the stump, debrided the bone where the suture was placed. Code 29822 Arthroscopy, shoulder, surgical; debridement, limited or code 29823 Arthroscopy, shoulder, surgical; debridement, extensive, should be reported based on the extent of the service provided. The family of SwiveLock tenodesis implants is designed to support a multitude of proximal biceps tenodesis techniques and maximize OR efficiency. Arthroscopic Biceps Tenodesis: Introduction (With Video Illustration) Pathology of the long head of the biceps (LHB) tendon can contribute to substantial shoulder pain in adults and often is managed with either arthroscopic tenotomy or tenodesis when conservative treatment fails. Trenhaile SW. docx Created Date: 10/31/2016 4:02:50 AM Background:Arthroscopic biceps tenodesis (ABT) high in the groove can be achieved using an inlay or an onlay technique. 1 (standard deviation, 1. First page loaded, no previous page available Dr. When a tear occurs, arm movement can be limited and painful. A biceps tenodesis is usually performed as a measure to correct more significant biceps tendon symptoms or to correct problems where the biceps attaches, known as a SLAP tear. Several studies have shown that patient outcomes and complication rates are similar between all-arthroscopic suprapectoral biceps tenodesis and open subpectoral biceps tenodesis. Arthroscopy is a minimally-invasive procedure allows your doctor to assess the condition of the biceps tendon as well as other structures in the shoulder. Tenodesis of the biceps tendon can prevent cosmetic deformity 1 and may preserve strength. In this procedure, the Long Head of Biceps (LHB) tendon is reattached to the top of the humerus, relieving pain, discomfort and restoring stability and strength to the arm. arthroscopic biceps tenodesis video