title: An Arthroscopic Technique for Long Head of Biceps Tenodesis With Double Knotless Screw.
abstract: Tenodesis of the long head of the biceps (LHB) is a frequently performed procedure during shoulder arthroscopy for the treatment of degenerative, traumatic, or inflammatory lesions of the LHB tendon. Arthroscopic techniques for LHB tenodesis using knotless screw techniques offer the advantage of circumventing the need for arthroscopic knot tying. In 2012 Song and Williams described a novel tenodesis technique that does not require any knot-tying procedures by using a knotless anchor. However, a single-anchor configuration may not offer adequate stabilization of the LHB tendon. Therefore we propose a modified method that uses a double knotless anchor that offers advantages over the single knotless anchor, such as an increase in the contact area between the tendon and bone to facilitate tendon-to-bone healing and strengthening of the tenodesis construct.
authors.affiliation: Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan.
authors.forename: Wei-Ren
authors.initials: WR
authors.lastname: Su
authors.affiliation: University of Texas Health Science Center at San Antonio School of Medicine, San Antonio, Texas, U.S.A.
authors.forename: Florence Y
authors.initials: FY
authors.lastname: Ling
authors.affiliation: Department of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
authors.forename: Chih-Kai
authors.initials: CK
authors.lastname: Hong
authors.affiliation: Department of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
authors.forename: Chih-Hsun
authors.initials: CH
authors.lastname: Chang
authors.affiliation: Department of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
authors.forename: Kai-Chen
authors.initials: KC
authors.lastname: Chung
authors.affiliation: Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan.
authors.forename: I-Ming
authors.initials: IM
authors.lastname: Jou