Jon E. Hammarstedt, B. S. , David D. Savin, M. D. , Benjamin A

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Presentation transcript:

Single-Incision Anatomic Repair Technique for Distal Biceps Tendon Rupture Using Tunneling Device  Jon E. Hammarstedt, B.S., David D. Savin, M.D., Benjamin A. Goldberg, M.D.  Arthroscopy Techniques  Volume 6, Issue 4, Pages e945-e950 (August 2017) DOI: 10.1016/j.eats.2017.03.007 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Superior and cross-sectional views of the normal anatomic insertion of the distal biceps tendon (BT) into the medial aspect of the right radial tuberosity (RT) in a patient in the supine position. (R, radius.) Arthroscopy Techniques 2017 6, e945-e950DOI: (10.1016/j.eats.2017.03.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Superior and cross-sectional views of fixation techniques for repair of a right distal biceps tendon rupture in a patient in the supine position, including single-incision approaches. (A) Tenodesis screw. (B) Tension slide technique with cortical EndoButton (EB). (C) Suture anchor (SA). (D) Double-incision bone tunnel. (BH, burr hole; BT, biceps tendon; IS, interference screw; R, radius; RT, radial tuberosity.) Arthroscopy Techniques 2017 6, e945-e950DOI: (10.1016/j.eats.2017.03.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Single-incision anatomic technique for repair of the right distal biceps tendon rupture using the ArthroTunneler device in a patient in the supine position. (A) Placement of ArthroTunneler and drilling of radial tuberosity. (B) Passing of suture loop through drill hole and retrieval with nitinol loop. (C) Capturing of biceps tendon free suture with suture loop. (D) Superior view of drill tunnels and suture retrieval. (E) Cross-sectional and superior views of distal biceps tendon reduction and fixation. (AT, ArthroTunneler; BT, biceps tendon; D, drill; FS, free suture; NL, nitinol loop; R, radius; RT, radial tuberosity; SK, suture knot; SL, suture loop.) Arthroscopy Techniques 2017 6, e945-e950DOI: (10.1016/j.eats.2017.03.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Single-incision anatomic technique for repair of the right distal biceps tendon rupture using the ArthroTunneler device in a patient in the supine position. (A) Placement of ArthroTunneler and drilling of radial tuberosity. (B) Passing of suture loop through drill hole and retrieval with nitinol loop. (C) Capturing of biceps tendon free suture with suture loop. (D) Superior view of drill tunnels and suture retrieval. (E) Cross-sectional and superior views of distal biceps tendon reduction and fixation. (AT, ArthroTunneler; BT, biceps tendon; D, drill; FS, free suture; NL, nitinol loop; R, radius; RT, radial tuberosity; SK, suture knot; SL, suture loop.) Arthroscopy Techniques 2017 6, e945-e950DOI: (10.1016/j.eats.2017.03.007) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions