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

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Presentation transcript:

Arthroscopic Biceps Tenodesis Using Interference Screw Fixation in the Bicipital Groove Thomas Amouyel, M.D., Yves-Pierre Le Moulec, M.D., Nicolas Tarissi, M.D., Mo Saffarini, M.Eng., Olivier Courage, M.D. Arthroscopy Techniques Volume 6, Issue 5, Pages e1953-e1957 (October 2017) DOI: 10.1016/j.eats.2017.07.025 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Landmarks drawn on a right shoulder. (A, acromion; C, clavicule; P, posterior portal; N, Neviaser portal; AM, antero-medial portal; DL, distal lateral portal; DM, distal medial portal.) Arthroscopy Techniques 2017 6, e1953-e1957DOI: (10.1016/j.eats.2017.07.025) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic view of a right shoulder through the distal lateral portal. (A) The long head of the biceps tendon (arrow) under the transverse humeral ligament (T). (B) Inflammatory tendon after the opening of the transverse humeral ligament. (C) The biceps is pulled out of the bicipital groove with a grasper after removing the articular needle. Arthroscopy Techniques 2017 6, e1953-e1957DOI: (10.1016/j.eats.2017.07.025) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Outside view of a right shoulder. (A and B) The tendon (arrow) is clamped and reinforced using straight-needle suture over 30 mm through the distal medial portal (*). (C) Its end is fed through the closed eyelet of the biocomposite screw (S) until the proximal end of the tendon reaches the eyelet. Arthroscopy Techniques 2017 6, e1953-e1957DOI: (10.1016/j.eats.2017.07.025) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic view of a right shoulder through the distal lateral portal; instruments are introduced through the distal medial portal. (A) A 25-mm-deep humeral tunnel (H) is created at the lower end of the bicipital groove (BG) using a small impactor (I) and (B) a manual reamer (R) 0.5-1 mm wider than the intended screw diameter. (C) Final position of the interference screw (S) and the biceps tendon (arrow) after removal of the sutures and material. Arthroscopy Techniques 2017 6, e1953-e1957DOI: (10.1016/j.eats.2017.07.025) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions