Mini-Open Subpectoral Biceps Tenodesis With an Onlay Knotless TensionTight Locking Button Technique
Although isolated long head of the biceps (LHB) pathology is relatively rare, it is commonly encountered in the treatment of concomitant intraarticular shoulder pathology such as subscapularis tear, SLAP tears, and coracoid impingement. Shoulder pain arising from the LHB generally occurs with overhe...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-05-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724005607 |
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| author | Mikalyn T. DeFoor, M.D. Michael G. Rizzo, M.D. Marco Adriani, M.D. Broderick T. Provencher Ryan J. Whalen, B.S., C.S.C.S. Natalie Cortes, M.S. Nate J. Dickinson, B.A. Matthew T. Provencher, M.D., M.B.A., CAPT MC U.S.N.R. (Ret.) |
| author_facet | Mikalyn T. DeFoor, M.D. Michael G. Rizzo, M.D. Marco Adriani, M.D. Broderick T. Provencher Ryan J. Whalen, B.S., C.S.C.S. Natalie Cortes, M.S. Nate J. Dickinson, B.A. Matthew T. Provencher, M.D., M.B.A., CAPT MC U.S.N.R. (Ret.) |
| author_sort | Mikalyn T. DeFoor, M.D. |
| collection | DOAJ |
| description | Although isolated long head of the biceps (LHB) pathology is relatively rare, it is commonly encountered in the treatment of concomitant intraarticular shoulder pathology such as subscapularis tear, SLAP tears, and coracoid impingement. Shoulder pain arising from the LHB generally occurs with overhead repetitive motion and activities of resisted pronation and supination of the forearm. Although there are several approaches to treatment and types of fixation used to address LHB tendon pathology, there is no clear superior method of surgical intervention. As opposed to intraosseous fixation with an inlay technique, an onlay technique fixes the tendon to the cortical surface with the advantage of decreased risk of torsional fracture and a smaller footprint with less bone loss. We describe our preferred technique for the treatment of the LHB tendon pathology using an all-knotless onlay TensionTight locking button technique with a mini-open subpectoral biceps tenodesis. |
| format | Article |
| id | doaj-art-86b5bc29818b46ec95d7f0fd0849baa4 |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-86b5bc29818b46ec95d7f0fd0849baa42025-08-20T03:25:12ZengElsevierArthroscopy Techniques2212-62872025-05-0114510339210.1016/j.eats.2024.103392Mini-Open Subpectoral Biceps Tenodesis With an Onlay Knotless TensionTight Locking Button TechniqueMikalyn T. DeFoor, M.D.0Michael G. Rizzo, M.D.1Marco Adriani, M.D.2Broderick T. Provencher3Ryan J. Whalen, B.S., C.S.C.S.4Natalie Cortes, M.S.5Nate J. Dickinson, B.A.6Matthew T. Provencher, M.D., M.B.A., CAPT MC U.S.N.R. (Ret.)7San Antonio Military Medical Center, Fort Sam Houston, Texas, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; Department of Medical and Surgical Specialties, University of Brescia, Brescia, ItalySteadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.; Address correspondence to Matthew T. Provencher, M.D., M.B.A., CAPT MC U.S.N.R. (Ret.), Steadman Philippon Research Institute, The Steadman Clinic, 181 West Meadow Dr., Suite 400, Vail, CO 81657, U.S.A.Although isolated long head of the biceps (LHB) pathology is relatively rare, it is commonly encountered in the treatment of concomitant intraarticular shoulder pathology such as subscapularis tear, SLAP tears, and coracoid impingement. Shoulder pain arising from the LHB generally occurs with overhead repetitive motion and activities of resisted pronation and supination of the forearm. Although there are several approaches to treatment and types of fixation used to address LHB tendon pathology, there is no clear superior method of surgical intervention. As opposed to intraosseous fixation with an inlay technique, an onlay technique fixes the tendon to the cortical surface with the advantage of decreased risk of torsional fracture and a smaller footprint with less bone loss. We describe our preferred technique for the treatment of the LHB tendon pathology using an all-knotless onlay TensionTight locking button technique with a mini-open subpectoral biceps tenodesis.http://www.sciencedirect.com/science/article/pii/S2212628724005607 |
| spellingShingle | Mikalyn T. DeFoor, M.D. Michael G. Rizzo, M.D. Marco Adriani, M.D. Broderick T. Provencher Ryan J. Whalen, B.S., C.S.C.S. Natalie Cortes, M.S. Nate J. Dickinson, B.A. Matthew T. Provencher, M.D., M.B.A., CAPT MC U.S.N.R. (Ret.) Mini-Open Subpectoral Biceps Tenodesis With an Onlay Knotless TensionTight Locking Button Technique Arthroscopy Techniques |
| title | Mini-Open Subpectoral Biceps Tenodesis With an Onlay Knotless TensionTight Locking Button Technique |
| title_full | Mini-Open Subpectoral Biceps Tenodesis With an Onlay Knotless TensionTight Locking Button Technique |
| title_fullStr | Mini-Open Subpectoral Biceps Tenodesis With an Onlay Knotless TensionTight Locking Button Technique |
| title_full_unstemmed | Mini-Open Subpectoral Biceps Tenodesis With an Onlay Knotless TensionTight Locking Button Technique |
| title_short | Mini-Open Subpectoral Biceps Tenodesis With an Onlay Knotless TensionTight Locking Button Technique |
| title_sort | mini open subpectoral biceps tenodesis with an onlay knotless tensiontight locking button technique |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724005607 |
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