2025 ISAKOS Congress in Munich, Germany

2025 ISAKOS Biennial Congress ePoster

 

Arthroscopic Suprapectoral Biceps Tenodesis Using An Onlay Technique

Kenneth Cutbush, MBBS, FRACS, FAOrthA, Spring Hill, QLD AUSTRALIA
Kathirazhagan Stalin, MS Orthopaedics, DNB, MRCS, FAOA, Chennai, Tamil Nadu INDIA
Helen Ingoe, MBBS, FRCS (Tr+Orth), MD, MSc, PGCert, Dunedin NEW ZEALAND
Roberto Pareyon MEXICO
Brandon Ziegenfuss, BSc(Hons) MPH, Brisbane, Queensland AUSTRALIA
Nagmani Singh, M.S., Arthroscopy and Sports Medicine Fellow, Kathmandu, Bagmati NEPAL
Ashish Gupta, MBBS, MSc, FRACS, FAORTHOA, Brisbane, QLD AUSTRALIA

Queensland Unit for Advanced Shoulder Research, Brisbane, QLD, AUSTRALIA

FDA Status Cleared

Summary

A technical note describing arthroscopic suprapectoral biceps tenodesis using an onlay technique.

ePosters will be available shortly before Congress

Abstract

Tenodesis of the long head of biceps is a common shoulder surgical procedure, and can be performed either arthroscopically or open and within the glenohumeral joint, within the bicipital groove, or below the pectoralis major tendon insertion. While an open approach is common, there are a number of complications that may present post-operatively. These include infecton, and persistent pain due to over tensioning of the tenodesis or from lesions hidden within the groove, such as bicipital synovitis or partial tendon tears, that are not visualized in a standard open technique.

Here we describe an all-arthroscopic onlay technique for biceps tendon fixation at an extra-articular position within the bicipital groove, above the pectoralis major insertion. The technique uses standard arthroscopic equipment and a single knotless suture anchor.