Jack Daoud, M. D. , Dany Aouad, M. D. , Hisham Abdelnour, M. D

Slides:

Advertisements

Similar presentations

Arthroscopic Rotator Cuff Augmentation: Surgical Technique Using Bovine Collagen Bioinductive Implant Richard Washburn, M.D., Taylor M. Anderson, B.S.,

Advertisements

Thomas Amouyel, M. D. , Yves-Pierre Le Moulec, M. D

Arthroscopic Recognition and Repair of the Torn Subscapularis Tendon

Using the Long Head of Biceps Tendon Autograft as an Anatomical Reconstruction of the Rotator Cable: An Arthroscopic Technique for Patients With Massive.

Allison J. Rao, M. D. , Eamon Bernardoni, M. S. , Nikhil Verma, M. D

Biceps Tenodesis: Anatomic Tensioning

The Combined “Double-Pulley” Simple Knot Technique for Arthroscopic Transtendon Fixation of Partial Articular-Sided Tear of the Subscapularis Tendon

Arthroscopic Rotator Cuff Repair With Mini-open Subpectoral Biceps Tenodesis Nicholas I. Kennedy, M.D., George Sanchez, B.S., Sandeep Mannava, M.D., Ph.D.,

Mikel Aramberri-Gutiérrez, M. D. , Ph. D. , Amaia Martínez-Menduiña, M

Patrick Barousse, M. D. , M. P. H. , Michael Saper, D. O

Tenoscopic Suprapectoral Biceps Tenodesis

Rotator Cerclage Technique for Partial Rotator Cuff Ruptures

Subpectoral Biceps Tenodesis Using an Expanding PEEK Device

Meniscal Ramp Lesion Repair by a Trans-septal Portal Technique

Arthroscopic Treatment of Greater Tuberosity Avulsion Fractures

Biceps Tenoscopy: Arthroscopic Evaluation of the Extra-articular Portion of the Long Head of Biceps Tendon Adnan Saithna, B.Med.Sci.(Hons), M.B.Ch.B.,

Bridge Tenodesis: A Secure Fixation Technique for Biceps Long Head Tendinopathy During Arthroscopic Rotator Cuff Repair Using a Suture-Bridge Technique

All-Arthroscopic Suprapectoral Long Head of Biceps Tendon Tenodesis With Interference Screw–Like Tendon Fixation After Modified Lasso-Loop Stitch Tendon.

Arthroscopic-Assisted Lower Trapezius Tendon Transfer for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique Bassem T. Elhassan,

Consolidated Proximal Biceps Tenodesis and Subscapularis Repair

Surgical Technique for Open Reduction–Internal Fixation of an Unstable Displaced 3- Part Proximal Humeral Fracture Using a Proximal Humeral Locking Plate

Takeshi Kokubu, M. D. , Yutaka Mifune, M. D. , Atsuyuki Inui, M. D

Arthroscopic Distal Clavicle and Medial Border of Acromion Resection for Symptomatic Acromioclavicular Joint Osteoarthritis Adinun Apivatgaroon, M.D.,

Aquarium Portal Technique for PASTA Lesion Repair

Jonathan C. Levy, M.D. Arthroscopy Techniques

Arthroscopic Treatment of Annular Drive Through and Radial Lateral Collateral Ligament Articular-Side Tear of the Elbow Paolo Arrigoni, M.D., Riccardo.

Double-Barrel Remplissage: An Arthroscopic All–Intra-articular Technique Using the Double-Barrel Knot for Anterior Shoulder Instability Deepak N. Bhatia,

Rotator Cerclage Technique for Partial Rotator Cuff Ruptures

Arthroscopic-Assisted Lower Trapezius Tendon Transfer for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique Bassem T. Elhassan,

Gregory L. Cvetanovich, M. D. , Timothy Leroux, M. D. , Jason T

Deepak N. Bhatia, M.S.(Orth), D.N.B.(Orth) Arthroscopy Techniques

The Combined “Double-Pulley” Simple Knot Technique for Arthroscopic Transtendon Fixation of Partial Articular-Sided Tear of the Subscapularis Tendon

Arthroscopic Latarjet Procedure Combined With Bankart Repair: A Technique Using 2 Cortical Buttons and Specific Glenoid and Coracoid Guides Philippe.

Arthroscopic Suture Anchor Tenodesis: Loop-Suture Technique

Maurice Balke, M. D. , Ralph Akoto, M. D. , Christoph Offerhaus, M. D

Matthew Yalizis, M. B. B. S. , F. R. A. C. S. , Kevin Kruse, M. D

All-Arthroscopic Suprapectoral Biceps Tenodesis

Arthroscopic Technique for Stabilization of Chronic Acromioclavicular Joint Instability With Coracoclavicular and Acromioclavicular Ligament Reconstruction.

Dual-Camera Technique for Arthroscopic Rotator Cuff Repair

Masato Takao, M. D. , Ph. D. , Mark Glazebrook, M. D. , M. Sc. , Ph. D

Krzysztof Hermanowicz, M. D. , Adrian Góralczyk, Konrad Malinowski, M

Arthroscopic Superior Capsular Reconstruction With Acellular Dermal Allograft Using Push-In Anchors for Glenoid Fixation William T. Pennington, M.D.,

Technique for Type IV SLAP Lesion Repair

Arthroscopic-Assisted Pectoralis Minor Transfer for Irreparable Anterosuperior Massive Rotator Cuff Tear Kotaro Yamakado, M.D., Ph.D. Arthroscopy Techniques

Surgical Technique to Repair Musculotendinous Junction Tear of Supraspinatus Using Lateral-Row Anchors to Avoid Cut-Through Bancha Chernchujit, M.D.Ortho.,

Arthroscopic Subscapularis Repair Through a Single Anterior Portal

Aaron J. Bois, M. D. , M. Sc. , F. R. C. S. C. , Steven Roulet, M. D

Joshua A. Greenspoon, B. Sc. , Maximilian Petri, M. D. , Peter J

Arthroscopic Remplissage for Engaging Hill-Sachs Lesions in Patients With Anterior Shoulder Instability Christopher L. Camp, M.D., Diane L. Dahm, M.D.,

Technique for Type IV SLAP Lesion Repair

All-Arthroscopic Coracoclavicular Ligament Reconstruction Surgical Technique Using a Semitendinosus Allograft and Tenodesis Screws Xinning Li, M.D.,

Jillian Karpyshyn, B. Sc. , M. D. , Erin E. Gordey, M. D. , F. R. C. S

Single Portal Subscapular Repair by a Cross Shuttle Loop Technique

Arthroscopic and Endoscopic Technique for Subcoracoid Synovial Chondromatosis of the Shoulder Through a Medial Transpectoral Portal Mikel Aramberri,

Arthroscopic Suprapectoral Tenodesis of the Long Head Biceps: Reproducing an Anatomic Length-Tension Relationship Tal S. David, M.D., Jeffrey C. Schildhorn,

Diagnostic Shoulder Arthroscopy: Surgical Technique

Bridge Tenodesis: A Secure Fixation Technique for Biceps Long Head Tendinopathy During Arthroscopic Rotator Cuff Repair Using a Suture-Bridge Technique

Gregory L. Cvetanovich, M. D. , Timothy Leroux, M. D. , Jason T

Meniscal Ramp Lesion Repair by a Trans-septal Portal Technique

Single Portal Subscapular Repair by a Cross Shuttle Loop Technique

Femoral Footprint Reconstruction With a Direct Viewing of the Posterior Insertion Using a Trans-Septal Portal in the Outside-In Anterior Cruciate Ligament.

David Saper, M.D., Xinning Li, M.D. Arthroscopy Techniques

Krzysztof Hermanowicz, M. D. , Adrian Góralczyk, Konrad Malinowski, M

Mathew J. Mazoch, M.D., Wesley F. Frevert, M.D., Larry D. Field, M.D.

Arthroscopic Correction of a Supracondylar Malunion in a Child

Surgical Technique to Repair Musculotendinous Junction Tear of Supraspinatus Using Lateral-Row Anchors to Avoid Cut-Through Bancha Chernchujit, M.D.Ortho.,

Mikel Aramberri-Gutiérrez, M. D. , Ph. D. , Amaia Martínez-Menduiña, M

Maurice Balke, M. D. , Ralph Akoto, M. D. , Christoph Offerhaus, M. D

Surgical Technique for Open Reduction–Internal Fixation of an Unstable Displaced 3- Part Proximal Humeral Fracture Using a Proximal Humeral Locking Plate

All-Arthroscopic Biceps Tenodesis by Knotless Winding Suture

Presentation transcript:

Technique for Arthroscopic Long Head of Biceps Tenodesis Using Anchor With Fork Tip Eyelet Jack Daoud, M.D., Dany Aouad, M.D., Hisham Abdelnour, M.D., Robert Hanna, P.T., Georges El Rassi, M.D. Arthroscopy Techniques Volume 7, Issue 4, Pages e299-e305 (April 2018) DOI: 10.1016/j.eats.2017.09.005 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Beach chair position with arm in 45° of flexion and 30° of abduction. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Beach chair position. The posterior soft spot, located 2 finger breadths below and 2 finger breadths medial to the posterolateral corner of the acromion, is palpated and marked by X. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Beach chair position. The introducer is inserted into the glenohumeral joint by aiming toward the coracoid process through the soft spot. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Intra-articular diagnostic arthroscopy showing inflammation of the long head of the biceps tendon. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 (A) Spinal needle introduced lateral to the coracoid process through the rotator interval under direct vision. (B) Rotator interval bound superiorly by the supraspinatus and inferiorly by the subscapularis with the long head of the biceps tendon forming its roof. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 Beach chair position. A spinal needle is introduced 1 to 2 cm distal to the lateral acromial edge as a guide to create the lateral portal. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 7 Beach chair position. The arm is put into 90° of flexion with the elbow in extension and the forearm in full supination in order to keep tension on the biceps tendon facilitating its identification. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 8 Sliding the tip of the shaver over the long head of the biceps tendon enabling identification of its location. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 9 By clearing the surrounding tissue, the shaver is used to obtain full exposure of the biceps tendon. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 10 The electrocautery is used to mark the border of the biceps tendon with its corresponding level on the humerus for tenodesis site. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 11 Beach chair position. Elbow flexed to 90° in order to avoid retraction of the long head of the biceps tendon after intra-articular tenotomy. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 12 Intra-articular tenotomy of the long head of the biceps. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 13 Beach chair position. Under direct vision, the anterolateral portal is created, overlying the biceps tendon at the planned tenodesis site. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 14 Through the anterolateral portal, the piloted head reamer is introduced and placed over the site of tenodesis. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 15 Drilling of a 20 mm depth hole for tenodesis angled at 90° to the humeral shaft. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 16 Beach chair position. The tenodesis anchor is introduced through the anterolateral portal. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 17 Forked tip anchor used to trap and manipulate the long head of the biceps tendon toward the drilled bony canal. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 18 Anchor along with the biceps tendon are introduced into the bony canal. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 19 After completing tenodesis, the remnants of the biceps tendon are debrided using the electrocautery. Arthroscopy Techniques 2018 7, e299-e305DOI: (10.1016/j.eats.2017.09.005) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions