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Andrew A. Tarleton, M. D. , Liang Zhou, M. S. , Michael J. O'Brien, M

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Presentation on theme: "Andrew A. Tarleton, M. D. , Liang Zhou, M. S. , Michael J. O'Brien, M"— Presentation transcript:

1 Arthroscopic Biceps Tenodesis From a Superior Viewing Portal in the Shoulder 
Andrew A. Tarleton, M.D., Liang Zhou, M.S., Michael J. O'Brien, M.D., Felix H. Savoie, M.D.  Arthroscopy Techniques  Volume 4, Issue 4, Pages e383-e389 (August 2015) DOI: /j.eats Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 The patient's anterior is on the left side of the photograph, and the top of the photograph is medial. The switching stick is above the anterosuperior portal. Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Top-down view from anterosuperior portal. The biceps tendon is seen emerging from underneath the falciform ligament. Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 The biceps tendon is elevated out of the groove, allowing a panoramic view of the bicipital groove down to the pectoralis tendon. Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 View under pectoralis major tendon showing inflamed tissue.
Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 The patient's anterior is on the left side of the image, and the top of the image is medial. The switching stick is in the distal anterior-fold portal, which is used for instrumentation. Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

7 Fig 6 The patient's anterior is on the left side of the photograph, and the top of the photograph is medial. Tag suture is placed through the biceps and comes out of the anterior portal. An 8.5-mm green cannula is placed into the axillary-fold portal, and the arthroscope is placed into the anterosuperior portal. Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

8 Fig 7 View of plastic cannula over groove.
Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

9 Fig 8 Guide pin in center of bicipital groove.
Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

10 Fig 9 The reamer is placed through the proximal cortex only.
Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

11 Fig 10 Biceptor placed into tunnel without tendon.
Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

12 Fig 11 (A) Biceptor device placing tendon into tunnel. (B) Tendon completely in tunnel. Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

13 Fig 12 Fixation wire and cannula holding tendon in tunnel.
Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

14 Fig 13 Screw in tunnel fixating tendon.
Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

15 Fig 14 Proximal tendon held by grasper after fixation.
Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

16 Fig 15 (A) Resection of proximal tendon. (B) Final view of fixation.
Arthroscopy Techniques 2015 4, e383-e389DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions


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