Wang Kevin C, Theismann Jeffrey J, Cole Elliot, Zhang Alan L
Department of Orthopedic Surgery, University of California, San Francisco, San Francisco, California, USA.
Video J Sports Med. 2025 Feb 27;5(1):26350254241301446. doi: 10.1177/26350254241301446. eCollection 2025 Jan-Feb.
Biceps tenodesis can be used to treat both superior labral anterior and posterior (SLAP) tears and degenerative biceps pathologies in the setting of rotator cuff pathology or as stand-alone techniques. Research has shown that arthroscopic biceps tenodesis has comparable outcomes to open tenodesis with the benefit of being less invasive.
Surgical indications for intra-articular tenodesis of the long head of the biceps (LHB) include SLAP tear, failed SLAP repair, partial-thickness LHB tear, biceps instability, tenosynovitis, and clinical examination consistent with LHB pain.
We present our technique for arthroscopic intra-articular biceps tenodesis with a top-of-the-groove all-suture anchor using percutaneous suture passage with a spinal needle and polydioxanone suture. Sutures are shuttled through the LHB in situ before releasing the tendon from the labrum.
The authors have seen excellent clinical results using this method without any cases of tenodesis failure. Prior studies have shown subpectoral, suprapectoral, and top-of-the-groove biceps tenodesis to have similar good clinical outcomes at multiple time points.
DISCUSSION/CONCLUSION: This technique is advantageous as it is time efficient and cost-effective, and tension on the biceps can be easily maintained as suture is passed through the tendon in situ before the tendon is released from the superior labrum.
The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
肱二头肌肌腱固定术可用于治疗上盂唇前后部（SLAP）撕裂以及在肩袖病变情况下的肱二头肌退行性病变，也可作为独立技术使用。研究表明，关节镜下肱二头肌肌腱固定术与开放肌腱固定术效果相当，且具有侵入性较小的优点。
肱二头肌长头（LHB）关节内肌腱固定术的手术适应症包括SLAP撕裂、SLAP修复失败、LHB部分厚度撕裂、肱二头肌不稳定、腱鞘炎以及与LHB疼痛相符的临床检查。
我们介绍了一种使用槽顶全缝合锚钉进行关节镜下关节内肱二头肌肌腱固定术的技术，该技术采用经皮缝线通道，使用脊椎穿刺针和聚二氧六环酮缝线。在将肌腱从盂唇松解之前，先将缝线原位穿过LHB。
作者使用该方法取得了出色的临床效果，没有出现任何肌腱固定失败的病例。先前的研究表明，胸小肌下、胸小肌上和槽顶肱二头肌肌腱固定术在多个时间点具有相似的良好临床效果。
讨论/结论：该技术具有优势，因为它省时且经济高效，并且在肌腱从盂上唇松解之前，当缝线原位穿过肌腱时，可以轻松保持肱二头肌的张力。
作者证明已获得本出版物中出现的任何患者的同意。如果个体可能被识别，作者已随本提交稿件包含患者的豁免声明或其他书面批准形式以供发表。
