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. 2019 Sep 10;8(8):e935-e939.
doi: 10.1016/j.eats.2019.01.023. eCollection 2019 Aug.

Arthroscopic On-Lay Biceps Tenodesis: The Loop-Lock Technique

Matthew Daggett  1 , Blake Stepanovich  1 , Andrew Meyers  1 , Brian Geraghty  1
Affiliations

Arthroscopic On-Lay Biceps Tenodesis: The Loop-Lock Technique

Matthew Daggett et al. Arthrosc Tech. .

Abstract

The biceps tendon is a common pain generator in the shoulder. Long head of the biceps tendon pathology occurs in a variety of different ways. There are several different treatment options available to address the long head of the biceps. With advances in arthroscopy, all-arthroscopic tenodesis is becoming a more popular choice to address biceps tendon pathology. We describe an all-arthroscopic technique, termed "the loop-lock," for performing a biceps tenodesis.

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Figures

Fig 1
Fig 1
Four portals are used for the loop-lock technique of biceps tenodesis on this left shoulder: the posterior portal (P), anterior portal (A), lateral portal (L), and anterolateral portal (AL).
Fig 2
Fig 2
The left shoulder (arrow) is forward flexed and externally rotated to better visualize the bicipital groove in the left shoulder during arthroscopic biceps tenodesis.
Fig 3
Fig 3
The bicipital groove is opened using a radiofrequency device to visualize the biceps tendon (BT) through a lateral portal in this left shoulder during arthroscopic biceps tenodesis.
Fig 4
Fig 4
The distal anchor for arthroscopic biceps tenodesis is inserted through an anterolateral portal just superior to the pectoralis major (arrow) attachment in this left shoulder while viewing through a direct lateral portal.
Fig 5
Fig 5
The suture anchor is placed through the guide in the anterolateral portal at the superior aspect of the pectoralis major in this left shoulder that is abducted and externally rotated.
Fig 6
Fig 6
The suture passer is placed in the anterolateral portal through the loop of the suture and grasps the free tail (*) of the looped suture (arrow) to cinch the biceps tendon to the anchor and bone in this left shoulder.
Fig 7
Fig 7
A suture-passing device passes the suture through biceps tendon and then is tied in this left shoulder in the beach chair position.
Fig 8
Fig 8
After fixation of the biceps tendon (BT) in this left shoulder using the “loop-lock” technique in arthroscopic biceps tenodesis, the remaining excess tendon is incised and then removed through the anterolateral arthroscopic portal.
See this image and copyright information in PMC

References

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