title: Ultrasound-Guided Percutaneous Tenotomy of Biceps Tendon: Technical Feasibility on Cadavers.
abstract: We tested the technical feasibility of ultrasound-guided percutaneous tenotomy of the long head of the biceps tendon (LHBT) in cadavers. Both shoulders of two fresh cadavers were scanned anteriorly to evaluate the extra-articular portion of the LHBT. Under ultrasound monitoring, a scalpel was advanced obliquely up to touch the superficial medial side of the LHBT, cutting it until the tendon was not visible anymore. Ultrasound evaluation was repeated after the procedure, and anatomic dissection was performed. The procedure was 100% feasible: four cuts were made to completely sever the tendon; the duration was less than 1 min. Skin incision measured 5 mm in two cases and 6 mm in two cases. Anatomic dissection confirmed complete tendon cut in all cases with proximal and distal tendon stumps very close to each other. Ultrasound-guided percutaneous LHBT tenotomy was 100% technically feasible in cadavers with a quick procedure and minimal cutaneous incision.
authors.affiliation: Unità Operativa di Radiologia/Diagnostica per Immagini con Servizio di Radiologia Interventistica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy; Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy. Electronic address: io@lucasconfienza.it.
authors.forename: Luca Maria
authors.initials: LM
authors.lastname: Sconfienza
authors.affiliation: Divisione di Radiologia Interventistica, Istituto Europeo di Oncologia, Milan, Italy; Servizio di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Mauri
authors.affiliation: Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Milan, Italy.
authors.forename: Carmelo
authors.initials: C
authors.lastname: Messina
authors.affiliation: Servizio di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Aliprandi
authors.affiliation: Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy; Servizio di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Secchi
authors.affiliation: Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy; Servizio di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Sardanelli
authors.affiliation: Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy; Unità Operativa Ortopedia e Traumatologia II, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
authors.forename: Pietro Simone
authors.initials: PS
authors.lastname: Randelli
mesh_terms: D000369:Aged, 80 and over; D002102:Cadaver; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D013710:Tendons / Q000000981:diagnostic imaging* / Q000601:surgery*; D058971:Tenotomy / Q000379:methods*; D018084:Ultrasonography, Interventional / Q000379:methods*
keywords: Cadavers; Long head of biceps tendon; Shoulder; Tenotomy; Ultrasound-guided procedure