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The “Sandwich Tenodesis”: An Arthroscopic Technic for Combined Soft-Tissue and Bony Fixation of the Long Head of the Biceps

Pathology of the long head of the biceps can contribute to substantial shoulder pain. After nonoperative treatment has failed, either open or arthroscopic tenotomy or tenodesis can be recommended depending on age, occupation, function, and cosmetic preference. While classic tenodesis techniques rely...

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Detalles Bibliográficos
Autores principales: Chevallier, Romain, Calo, Miche, Srikumaran, Uma, Nayar, Suresh, Nourissat, Geoffroy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7917346/
https://www.ncbi.nlm.nih.gov/pubmed/33680792
http://dx.doi.org/10.1016/j.eats.2020.10.040
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author Chevallier, Romain
Calo, Miche
Srikumaran, Uma
Nayar, Suresh
Nourissat, Geoffroy
author_facet Chevallier, Romain
Calo, Miche
Srikumaran, Uma
Nayar, Suresh
Nourissat, Geoffroy
author_sort Chevallier, Romain
collection PubMed
description Pathology of the long head of the biceps can contribute to substantial shoulder pain. After nonoperative treatment has failed, either open or arthroscopic tenotomy or tenodesis can be recommended depending on age, occupation, function, and cosmetic preference. While classic tenodesis techniques rely on tendon-to-bone fixation, multiple studies have shown superior healing results for fixation between similar types of tissue, such as tendon-to-tendon. In this technique, we present the “sandwich technique,” performed entirely arthroscopically. A single 4-strand anchor with bioabsorbable screw is used to provide 2 types of fixation. Two strands are first used to lasso-loop the long head of the biceps to the bicipital groove, providing bone-to-tendon fixation. The other strands are then used to anchor rotator interval tissue to the tendon, providing a similar tissue or tendon-to-tendon patch augmentation.
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spelling pubmed-79173462021-03-05 The “Sandwich Tenodesis”: An Arthroscopic Technic for Combined Soft-Tissue and Bony Fixation of the Long Head of the Biceps Chevallier, Romain Calo, Miche Srikumaran, Uma Nayar, Suresh Nourissat, Geoffroy Arthrosc Tech Technical Note Pathology of the long head of the biceps can contribute to substantial shoulder pain. After nonoperative treatment has failed, either open or arthroscopic tenotomy or tenodesis can be recommended depending on age, occupation, function, and cosmetic preference. While classic tenodesis techniques rely on tendon-to-bone fixation, multiple studies have shown superior healing results for fixation between similar types of tissue, such as tendon-to-tendon. In this technique, we present the “sandwich technique,” performed entirely arthroscopically. A single 4-strand anchor with bioabsorbable screw is used to provide 2 types of fixation. Two strands are first used to lasso-loop the long head of the biceps to the bicipital groove, providing bone-to-tendon fixation. The other strands are then used to anchor rotator interval tissue to the tendon, providing a similar tissue or tendon-to-tendon patch augmentation. Elsevier 2021-01-16 /pmc/articles/PMC7917346/ /pubmed/33680792 http://dx.doi.org/10.1016/j.eats.2020.10.040 Text en © 2020 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Chevallier, Romain
Calo, Miche
Srikumaran, Uma
Nayar, Suresh
Nourissat, Geoffroy
The “Sandwich Tenodesis”: An Arthroscopic Technic for Combined Soft-Tissue and Bony Fixation of the Long Head of the Biceps
title The “Sandwich Tenodesis”: An Arthroscopic Technic for Combined Soft-Tissue and Bony Fixation of the Long Head of the Biceps
title_full The “Sandwich Tenodesis”: An Arthroscopic Technic for Combined Soft-Tissue and Bony Fixation of the Long Head of the Biceps
title_fullStr The “Sandwich Tenodesis”: An Arthroscopic Technic for Combined Soft-Tissue and Bony Fixation of the Long Head of the Biceps
title_full_unstemmed The “Sandwich Tenodesis”: An Arthroscopic Technic for Combined Soft-Tissue and Bony Fixation of the Long Head of the Biceps
title_short The “Sandwich Tenodesis”: An Arthroscopic Technic for Combined Soft-Tissue and Bony Fixation of the Long Head of the Biceps
title_sort “sandwich tenodesis”: an arthroscopic technic for combined soft-tissue and bony fixation of the long head of the biceps
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7917346/
https://www.ncbi.nlm.nih.gov/pubmed/33680792
http://dx.doi.org/10.1016/j.eats.2020.10.040
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