2021 Annual Meeting Shoulder Access Pass-Biceps Tenodesis: High, Low, Tunnel, Inlay/Outlay

Biceps Tenodesis: High, Low, Tunnel, Inlay/Outlay - How Much Does It Matter?

Video Transcription

Video Summary

The speaker discusses biceps pathology as a significant pain source, emphasizing the limitations of clinical exams and imaging, with arthroscopy as the gold standard. Treatment options include biceps tenotomy and tenodesis, with tenodesis preferred for preserving length-tension relationships and fixation strength. Various fixation techniques (inlay, onlay) and positions (superpectoral, subpectoral) show no clear superiority in clinical outcomes or complications, though subpectoral is favored for high-demand patients. Attention to surgical technique is crucial to avoid over-tensioning and fractures. Overall, biceps tenodesis yields reliable results with low complication rates regardless of method used.

Asset Caption

Dr. Brian Waterman | The Thrower's Shoulder

Keywords

biceps pathology

arthroscopy

biceps tenodesis

tenotomy

fixation techniques