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All-Endoscopic Distal Biceps Repair: Endoscopic Techniques Using Suture Anchors, Buttons, and Interference Screw Fixation

  • Deepak N. Bhatia
Chapter

Abstract

Biceps endoscopy is a minimally invasive procedure for diagnosis and definitive treatment of a wide variety of distal biceps tendon (DBT) pathology. The “all-endoscopic” approach devised by the author is a new and safe technique for repair and reconstruction of distal biceps tears. The “parabiceps portal” visualizes the entire repair process that is performed via the “distal anterior portal.” Chronic retracted tears can be endoscopically mobilized from the arm using a “mid-biceps portal,” and the tendon can be passed across the cubital fossa into the forearm. Cadaveric studies have established the safety of the portals and technique. The all-endoscopic DBT repair technique can be safely performed using suture anchors, buttons, and interference screws.

Keywords

Distal biceps rupture Biceps endoscopy Parabiceps portal Elbow arthroscopy Biceps repair 

Notes

Acknowledgement

Conflict of Interest: The author certifies that he has no commercial associations (e.g., consultancies, stock ownership, equity interest) that might pose a conflict of interest in connection with the submitted chapter. The author retains the copyright to the images, videos, and content in this chapter.

References

  1. 1.
    Bhatia DN, Kandhari V, DasGupta B. Cadaveric study of insertional anatomy of distal biceps tendon and its relationship to the dynamic proximal radioulnar space. J Hand Surg Am. 2017;42(1):e15e–e23.CrossRefGoogle Scholar
  2. 2.
    Bhatia DN, DasGupta B, Panjwani T. Cadaveric study of anterior and posterior elbow endoscopy portals for endoscopic distal biceps repair: comparative anatomy-at-risk. Surg Radiol Anat. 2016;38(7):781–91.CrossRefGoogle Scholar
  3. 3.
    Bhatia DN. Endoscopic distal biceps repair: endoscopic anatomy and dual-anchor repair using a proximal anterolateral “parabiceps portal”. Arthrosc Tech. 2015;4:e785–93.CrossRefGoogle Scholar
  4. 4.
    Bhatia DN. Endoscopic repair of acute and chronic retracted distal biceps ruptures. J Hand Surg Am. 2016;41(12):e501–7.CrossRefGoogle Scholar
  5. 5.
    Bhatia DN, Kandhari V. Analysis of technical feasibility and neurovascular safety of endoscopic distal biceps repair: a cadaveric study. J Shoulder Elb Surg. 2018;27(11):2057–67.CrossRefGoogle Scholar
  6. 6.
    Eames MH, Bain GI, Fogg QA, et al. Distal biceps tendon anatomy: a cadaveric study. J Bone Joint Surg Am. 2007;89:1044–9.PubMedGoogle Scholar

Copyright information

© ISAKOS 2020

Authors and Affiliations

  • Deepak N. Bhatia
    • 1
  1. 1.Sportsmed Mumbai, and Department of Orthopaedic SurgerySeth GS Medical College and King Edward VII Memorial HospitalMumbaiIndia

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