Arthroscopic biceps tendon tenodesis: the anchorage technical note

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Serval ID
serval:BIB_922FF651A012
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Arthroscopic biceps tendon tenodesis: the anchorage technical note
Journal
Knee Surgery, Sports Traumatology, Arthroscopy
Author(s)
Castagna  A., Conti  M., Mouhsine  E., Bungaro  P., Garofalo  R.
ISSN
0942-2056 (Print)
Publication state
Published
Issued date
06/2006
Volume
14
Number
6
Pages
581-5
Notes
Journal Article --- Old month value: Jun
Abstract
Treatment of long head biceps (LHB) tendon pathology has become an area of renewed interest and debate among orthopaedic surgeons in recent years. The background of this manuscript is a description of biceps tenodesis which ensure continual dynamic action of the tendon which depresses the head and impedes lateral translation. A new technique has been developed in order to treat LHB tendon irreversible structural abnormalities associated with cuff rotator lesions. This technique entails the construction of a biological anchor between the LHB and supraspinatus and/or infraspinatus tendons according to arthroscopic findings. The rationale, although not supported by biomechanical studies is to obtain a triple, biomechanical effect. The first of these biomechanical effects which we try to promote through the procedure of transposition is the elimination of the deviation and oblique angle which occurs as the LHB completes its intra-articular course prior to reaching the bicipital groove. Furthermore, we have found this technique extremely useful in the presence of large ruptures of the rotator cuff with muscle retraction. The most common complication associated to this particular method, observed in less than 3%, is failed biological fixation which manifests as subsidence of the tenodesis and consequent descent of the tendon with evident aesthetic deformity.
Keywords
Arthroscopy Biomechanics Humans Muscle, Skeletal/*surgery Orthopedic Procedures Range of Motion, Articular Rotator Cuff/injuries/physiopathology/surgery Shoulder Impingement Syndrome/physiopathology/surgery Shoulder Joint/physiopathology/*surgery Suture Techniques Tendon Injuries/physiopathology/*surgery Tendons/*surgery
Pubmed
Web of science
Open Access
Yes
Create date
28/01/2008 13:25
Last modification date
01/10/2019 7:18
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