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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 23, Issue 2, pp 596–599 | Cite as

Subpectoral biceps tenodesis: a new technique using an all-suture anchor fixation

  • Wei-Ren Su
  • Florence Y. Ling
  • Chih-Kai Hong
  • Chih-Hsun Chang
  • Cheng-Li Lin
  • I-Ming JouEmail author
Shoulder

Abstract

There are several options for LHB tenodesis; yet, there is no standard of care. This technical note describes an extramedullary all-suture anchor technique for LHB tenodesis that is similar to the extramedullary cortical button technique. The LHB tenodesis is performed by using the Y-Knot (1.3-mm; ConMed Linvatec, Largo, FL).The biceps tenotomy is completed arthroscopically, and a standard subpectoral approach is used for the tenodesis. A reamer is first used to drill through the anterior cortex of the humerus; subsequently, a 1.3-mm drill bit is used to drill through the posterior cortex. The Y-Knot anchor is passed through the bone tunnel and secured on the posterior cortical bone. A modified rolling hitch suture is placed 10 mm distal to the end of the LHB tendon by using one suture limb of the Y-Knot anchor. The other suture limb is pulled to shuttle the LHB tendon into the humerus, and the construct is fixed by tying down one limb to the other. This technical note describes an alternative method for subpectoral biceps tenodesis and uses a small drill hole, conserves bone, and minimizes trauma to the tendon.

Level of evidence V.

Keywords

Subpectoral biceps tenodesis All-suture anchor Y-Knot anchor Cortical button 

Supplementary material

Supplementary material 1 (MPG 23148 kb)

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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2014

Authors and Affiliations

  • Wei-Ren Su
    • 1
    • 4
  • Florence Y. Ling
    • 2
  • Chih-Kai Hong
    • 3
  • Chih-Hsun Chang
    • 3
  • Cheng-Li Lin
    • 1
  • I-Ming Jou
    • 1
    • 4
    Email author
  1. 1.Department of Orthopaedic SurgeryNational Cheng Kung University HospitalTainanTaiwan
  2. 2.University of Texas Health Science Center at San Antonio School of MedicineSan AntonioUSA
  3. 3.Department of MedicineNational Cheng Kung University College of MedicineTainanTaiwan
  4. 4.Medical Device Innovation CenterNational Cheng Kung UniversityTainanTaiwan

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