Arthroscopic biceps tenodesis.
The proximal biceps tendon is a significant source of shoulder pain that may be treated with biceps tenotomy or tenodesis. Biceps tenodesis has suggested advantages over tenotomy that include maintenance of the length-tension relationship, prevention of muscle atrophy, maintenance of elbow flexion and supination strength, avoidance of cramping pain, and avoidance of cosmetic deformity. The recent advancement of all arthroscopic tenodesis techniques has provided sufficient fixation strength while easing technical demands and minimizing neurovascular injury risk. With our newer techniques and better understanding of proximal biceps tendon pathology, the indications for tenodesis are evolving, and longer-term follow-up is required to fully evaluate the outcome of these procedures.
Center for Shoulder, Elbow and Sports Medicine, Department of Orthopaedic Surgery, Columbia University, 622 West 168th Street, PH 11th Floor, New York, NY, USA. csa4@columbia.edu
Christopher S
CS
Ahmad
Neal S
NS
ElAttrache
D000293:Adolescent; D001134:Arm Injuries / Q000175:diagnosis / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D018482:Muscle, Skeletal / Q000503:physiopathology / Q000601:surgery*; D020127:Recovery of Function; D018570:Risk Assessment; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000503:physiopathology; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods*; D013710:Tendons / Q000601:surgery; D016896:Treatment Outcome