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Biceps tenodesis

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https://www.readbyqxmd.com/read/27909678/bridge-tenodesis-a-secure-fixation-technique-for-biceps-long-head-tendinopathy-during-arthroscopic-rotator-cuff-repair-using-a-suture-bridge-technique
#1
Jin-Young Park, Jae-Hyung Lee, Kyung-Soo Oh, Seok-Won Chung, Jin-Young Bang, Young-Min Noh
Tendinopathy of the long head of the biceps is often found as an intra-articular pathology in the glenohumeral joint. Because long head of the biceps lesions are common, surgical intervention to properly manage the long head of the biceps has become an important issue. Both tenodesis and tenotomy have been shown to provide benefits in biceps long head tendinopathy. But because of concerns about muscle power reduction, cramping, and "Popeye's deformity," which may result from biceps tenotomy, biceps tenodesis is a good option for treating biceps lesions...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27904931/-arthroscopic-tenodesis-or-tenotomy-of-the-long-head-of-the-biceps-tendon-in-preselected-patients-does-it-make-a%C3%A2-difference
#2
M Kerschbaum, N Maziak, M Scheuermann, M Scheibel
BACKGROUND: Are there clinical, cosmetic and/or structural differences between tenotomy and tenodesis of the long head of the biceps tendon (LHB) in patients selected according to commonly used indication criteria? MATERIAL AND METHODS: A total of 85 patients were included in this study. An LHB tenodesis (LHB-TD) was performed in 49 patients and a tenotomy (LHB-TT) in 36 patients. In addition to a standardized examination, the age and gender adjusted Constant score (aCS), the LHB score and the subjective shoulder value (SSV) were assessed...
November 30, 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27885409/-simultaneous-surgical-treatment-of-the-long-head-of-the-biceps-tendon-during-operative-treatment-of-proximal-humeral-fractures
#3
M Kerschbaum, M Werth, C Gerhardt, M Scheibel
BACKGROUND: Pathologic conditions of the long biceps tendon can be found within treatment of proximal humeral fractures or as a source of pain after surgery. However, simultaneous surgical treatment at the index surgical intervention is so far not well established. The purpose of this study is to evaluate the results of a simultaneous biceps treatment during plate osteosynthesis of proximal humeral fractures. MATERIALS AND METHODS: Twenty-seven patients were included into this study...
November 24, 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27847979/relationship-between-subscapularis-tears-and-injuries-to-the-biceps-pulley
#4
Arnaud Godenèche, Laurent Nové-Josserand, Stéphane Audebert, Bruno Toussaint, Patrick J Denard, Alexandre Lädermann
PURPOSE: The purpose of this study was to analyse the relationship between long head of the biceps brachii (LHBT) lesions and subscapularis tears. The hypothesis was that a bicipital pulley might remain intact, even in the case of a subscapularis tear. METHODS: Between 2010 and 2011, all patients who had a primary arthroscopic repair of a subscapularis tear were potentially included in this prospective study. The outcome of interest was the prevalence and type of arthroscopic lesions of the LHBT and bicipital pulley...
November 15, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27765830/superior-labral-anterior-posterior-slap-tears-in-the-military-a-clinical-review-of-incidence-diagnosis-and-treatment-compared-with-the-civilian-population
#5
William Rossy, George Sanchez, Anthony Sanchez, Matthew T Provencher
CONTEXT: Given the notable physical demands placed on active members of the military, comprehension of recent trends in management and outcomes of superior labral anterior-posterior (SLAP) tears in this patient population is critical for successful treatment. EVIDENCE ACQUISITION: Electronic databases, including PubMed, MEDLINE, and Embase, were reviewed for the years 1985 through 2016. STUDY DESIGN: Database review. LEVEL OF EVIDENCE: Level 5...
October 7, 2016: Sports Health
https://www.readbyqxmd.com/read/27703412/all-arthroscopic-modified-rotator-interval-slide-for-massive-anterosuperior-cuff-tears-using-the-subdeltoid-space-surgical-technique-and-early-results
#6
Keith T Corpus, Samuel A Taylor, Stephen J O'Brien, Lawrence V Gulotta
BACKGROUND: Traditional intra-articular arthroscopic repair techniques for massive anterosuperior rotator cuff tears are technically demanding and necessitate sacrifice of the rotator interval to enable visualization. An interval slide allows mobilization through release of the medial aspect of the rotator interval, while leaving the lateral, bridging fibers intact. QUESTIONS/PURPOSES: The purpose of this study was to report a novel, arthroscopic, open-equivalent technique using the subdeltoid space to address these tears along with early clinical results...
October 2016: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/27659242/all-arthroscopic-suprapectoral-versus-open-subpectoral-tenodesis-of-the-long-head-of-the-biceps-brachii-without-the-use-of-interference-screws
#7
Jamison M Green, Mark H Getelman, Stephen J Snyder, Joseph P Burns
PURPOSE: To compare patient-reported outcomes and healing rates after open subpectoral and all-arthroscopic suprapectoral biceps tenodesis without the use of interference screws in patients with more than 2 years of follow-up. METHODS: Patients with at least 2 years of follow-up who underwent open subpectoral biceps tenodesis or all-arthroscopic suprapectoral biceps tenodesis without concomitant rotator cuff repair, labral repair, or Mumford procedure were considered for enrollment in the study...
September 19, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27599831/outcomes-following-long-head-of-biceps-tendon-tenodesis
#8
REVIEW
Saad M AlQahtani, Ryan T Bicknell
Lesions of the proximal long head of the biceps tendon (LHB) have been considered as a major cause of shoulder pain and dysfunction. The role of the LHB in causing pain has been a source of controversy for many years, and extensive literature is available discussing anatomy, function, pathology, and most importantly appropriate treatment. Despite this, there is a lack of consensus in the literature regarding the management of biceps-related pathology. Biceps tenotomy and tenodesis are common surgical treatment options when dealing with LHB-related pathology...
December 2016: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/27580320/rotator-cuff-sparing-approach-for-antegrade-humeral-nailing-with-biceps-tenodesis-a-technical-trick-with-clinical-implications
#9
Alexander B Christ, Elizabeth B Gausden, Stephen J Warner, Andrew M Nellestein, Ryan Thacher, Dean G Lorich
Antegrade intramedullary nails are an established, effective method of fixation for humeral shaft fractures. One significant limitation of this technique is chronic post-operative shoulder pain, which is likely related to the standard approach that involves splitting the rotator cuff to gain access to the nail starting point. Furthermore, mounting evidence suggests that both the intra-articular portion of the biceps tendon and the extra-articular portion in the bicipital groove can scar down after trauma, causing pain and limiting shoulder range-of-motion...
August 23, 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27577549/long-head-biceps-tenodesis-or-tenotomy-in-arthroscopic-rotator-cuff-repair-bite-study-protocol
#10
Derek Friedrich Petrus van Deurzen, Vanessa Antoinet Bernice Scholtes, Nienke Willemien Willigenburg, Navin Gurnani, Lukas Pieter Eduard Verweij, Michel Pieter Jozef van den Bekerom
BACKGROUND: Optimal treatment of the diseased long head of the biceps (LHB) tendon during rotator cuff repair remains a topic of debate: tenotomy or tenodesis. A recent meta analysis revealed no difference in strength or functional outcome between treatments. The included studies varied in methodological quality, and only two were randomized controlled trials (RCTs). As strong evidence in favor of either tenotomy or tenodesis is still lacking, we designed this randomized controlled trial to compare functional outcomes after tenotomy and tenodesis when performed in adjunct to arthroscopic rotator cuff repair...
August 30, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27574274/proximal-versus-distal-screw-placement-for-biceps-tenodesis-a-biomechanical-study
#11
D J De Villiers, B Loh, M Tacey, P Keith
PURPOSE: To assess the maximum and end torque of a fourth-generation composite humerus model with no screw inserted or with a screw inserted in the distal (subpectoral) position or proximal (suprapectoral) position. METHODS: 24 large-size, fourth-generation composite humeri were randomised to the control (n=8), proximal (n=8), or distal (n=8) group. For the latter 2 groups, an 8-mm-head interference screw (7x25 mm) was inserted at 1 cm proximal and 1 cm distal to the superior aspect of the insertion of the pectoralis major tendon, respectively...
August 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/27552466/clinical-and-sonographic-evaluation-of-bicortical-button-for-proximal-biceps-tenodesis
#12
James R Meadows, Matthew M Diesselhorst, Jonathan T Finnoff, Britta L Swanson, Kyle E Swanson
Use of a cortical button for proximal biceps tenodesis has demonstrated strength comparable to that of other types of fixation in biomechanical models, but few studies have evaluated the clinical outcome of such fixation. In the study reported here, 18 patients who underwent open subpectoral biceps tenodesis with a bicortical button were assessed, at minimum 12-month follow-up, with the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, a pain scale, physical examination, biceps supination strength testing, and ultrasonographic evaluation (to determine tenodesis integrity and proximity of the button to the axillary nerve)...
July 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27552463/biomechanical-evaluation-of-two-arthroscopic-biceps-tenodesis-techniques-proximal-interference-screw-and-modified-percutaneous-intra-articular-transtendon
#13
David E Hartigan, Matthew C Beran, James E Fleischli, Donald F D'Alessandro, Naiquan Nigel Zheng
The percutaneous intra-articular transtendon (PITT) technique has recently been shown to have results comparable to those of more accepted techniques. Its mode of failure was secondary to the suture pulling through the tendon substance. A modification was made whereby the tendon is locked within the suture configuration in an attempt to avoid pullout. We compared this new technique with a well-accepted technique of all-arthroscopic interference screw. In each of 8 pairs of cadaveric shoulders (mean age, 55 years; range, 51-59 years), one shoulder was randomized to be treated with either modified PITT or interference screw (Biceptor; Smith & Nephew) biceps tenodesis, and the other shoulder was treated with the other technique...
July 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27528841/open-versus-arthroscopic-biceps-tenodesis-a-comparison-of-functional-outcomes
#14
Kyle R Duchman, David E DeMik, Bastian Uribe, Brian R Wolf, Matthew Bollier
BACKGROUND: The proximal aspect of the long head of the biceps brachii (LHB) is a frequent source of anterior shoulder pain. Multiple techniques for LHB tenodesis have been described. However, comparative outcomes are lacking. The present study aims to compare functional results, patient reported outcomes, complications, and clinical failures for patients undergoing open versus arthroscopic LHB tenodesis. METHODS: All patients who underwent open or arthroscopic LHB tenodesis from 2009-2012 at a single institution were identified...
2016: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/27499518/biomechanical-evaluation-of-two-arthroscopic-techniques-for-biceps-tenodesis-triple-loop-suture-versus-simple-suture
#15
Roy Gigi, Oleg Dolkart, Zachary T Sharfman, Yariv Goldstein, Tamar Brosh, Ehud Rath, Eran Maman, Ofir Chechik
BACKGROUND: Several techniques and procedures have been described to treat long head of the biceps pathology; however, tenodesis and tenotomy are the 2 most common procedures performed. This study evaluated the initial fixation strength of the biceps tenodesis triple loop suture (TLS) technique and compared it with that of the simple suture technique (SST). METHODS: Twenty fresh frozen cadaveric human shoulders (humeral head and neck with attached biceps tendons) were harvested...
August 5, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27496907/survivorship-and-patient-reported-outcomes-after-comprehensive-arthroscopic-management-of-glenohumeral-osteoarthritis-minimum-5-year-follow-up
#16
Justin J Mitchell, Marilee P Horan, Joshua A Greenspoon, Travis J Menge, Dimitri S Tahal, Peter J Millett
BACKGROUND: There are little data on midterm outcomes after the arthroscopic management of glenohumeral osteoarthritis (GHOA) in young active patients. PURPOSE: To report outcomes and survivorship for the comprehensive arthroscopic management (CAM) procedure for the treatment of GHOA at a minimum of 5 years postoperatively. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: The CAM procedure was performed on a consecutive series of 46 patients (49 shoulders) with advanced GHOA who met criteria for shoulder arthroplasty but instead opted for a joint-preserving, arthroscopic surgical option...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27484678/-surgical-treatment-of-anterosuperior-impingement-of-the-shoulder
#17
J Pogorzelski, K Beitzel, A B Imhoff, P Millett, S Braun
OBJECTIVE: Therapy of intraarticular lesions and elimination of structural risk factors for those suffering from clinical manifest anterosuperiorer impingement (ASI) of the shoulder. This includes as a maximum version the arthroscopic repair of supraspinatus (SST) and subscapularis tendon (SCT) tears with subsequent subpectoral tenodesis of the long head of the biceps tendon (LBT) and arthroscopic coracoplasty. INDICATIONS: Clinical manifest anterosuperiorer impingement of the shoulder with anterior shoulder pain, failed conservative treatment and clear intraarticular damage in radiological imaging...
December 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27469476/-surgical-treatment-of-posterosuperior-impingement-psi
#18
M Beirer, G H Sandmann, A B Imhoff, S Buchmann
OBJECTIVE: To restore the physiologic anterior and posterior capsular volume to achieve an anatomic central contact point of the glenohumeral articulation and treatment of concomitant glenohumeral injuries due to posterosuperior impingement (PSI). INDICATIONS: Plateauing of clinical improvement despite adequate nonsurgical treatment (for at least 6-12 months). CONTRAINDICATIONS: General contraindications for elective arthroscopic surgery...
December 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27408492/biomechanical-properties-of-tenotomy-versus-biceps-knot-in-a-cadaver-model
#19
Micah Lissy, Amanda Esquivel, Allison Cracchiolo, Stephen Lemos
BACKGROUND: Biceps tenotomy and biceps tenodesis are the primary methods of treating biceps pathology. This study describes a new technique of tenotomy with the goal of autotenodesis to give the biceps a higher load to failure and decreased chance of a Popeye deformity. PURPOSE: The purpose of this study was to evaluate the strength of the "biceps knot", which is an outlet tenodesis of the biceps tendon and compare the biomechanical properties of this technique to tenotomy...
September 2016: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27393497/combined-arthroscopic-tenodesis-of-the-long-head-of-biceps-and-rotator-cuff-repair-in-antero-superior-cuff-tears
#20
S Uschok, S Herrmann, S Pauly, C Perka, S Greiner
PURPOSE AND HYPOTHESIS: This study evaluates the functional and cosmetic results following fixation of the long head of the biceps (LHB) tendon at the antero-medial footprint anchor of a rotator cuff reconstruction, using the "lasso-loop" technique. METHODS: 39 patients with a mean age of 62 years with a rotator cuff tear and associated lesion of the LHB tendon were included in this study. Besides rotator cuff repair in an arthroscopic anchor technique, all patients received additional LHB tenodeses using the lasso-loop technique...
September 2016: Archives of Orthopaedic and Trauma Surgery
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