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Arthrosc Tech. 2015 Aug 24;4(4):e383-9. doi: 10.1016/j.eats.2015.03.008. eCollection 2015 Aug.

Arthroscopic Biceps Tenodesis From a Superior Viewing Portal in the Shoulder.

Arthroscopy techniques

Andrew A Tarleton, Liang Zhou, Michael J O'Brien, Felix H Savoie

Affiliations

  1. Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana, U.S.A.

PMID: 26759782 PMCID: PMC4680906 DOI: 10.1016/j.eats.2015.03.008

Abstract

The purpose of this report is to describe our modification of the Verma-Trenhaile biceps tenodesis technique using a superior viewing portal that allows placement of the tenodesis site at the top of the pectoralis major tendon with interference screw fixation. The advantages of this technique include the following: (1) There is no need to exteriorize the tendon through the skin. (2) Viewing from superiorly allows a panoramic view of the groove all the way to the pectoralis major tendon insertion. (3) This panoramic view allows a more complete view of the biceps down to the muscle-tendon junction beneath the pectoralis major tendon. (4) The improved visualization permits the drill hole to be contained within the constraints of the groove. Short-term follow-up shows favorable results clinically, and no major complications have been associated with this technique.

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