Subpectoral biceps tenodesis.
The long head of the biceps brachii (LHB) tendon has long been recognized as a source of shoulder pain. Surgeons have debated the merits of tenotomy versus tenodesis, open versus arthroscopic approaches, and various fixation methods. This article reviews the clinical findings associated with LHB pathology, describes the operative technique of subpectoral biceps tenodesis, and reviews the current literature related to treatment of the symptomatic LHB tendon. The miniopen subpectoral approach is technically less demanding than purely arthroscopic techniques, and offers the potential for improved pain relief without cosmetic deformity by removing most of the LHB and its associated tenosynovium. As the literature on the topic continues to grow, subpectoral biceps tenodesis has emerged as an effective treatment for pathology of the LHB.
Provencher
Matthew T
MT
Naval Medical Center San Diego, San Diego, CA 92134-1112, USA. matthew.provencher@med.navy.mil
LeClere
Lance E
LE
Romeo
Anthony A
AA
D001182:Arthroscopy / Q000379:methods*; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000503:physiopathology; D010149:Postoperative Pain / Q000503:physiopathology; D010369:Pectoralis Muscles; D016059:Range of Motion, Articular / Q000502:physiology*; D012680:Sensitivity and Specificity; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery; D013536:Suture Techniques; D053656:Tenodesis / Q000379:methods*; D013718:Tensile Strength