2021 Annual Meeting Shoulder Access Pass-Single versus Double Suture Anchor Configuration for Arthroscopic Onlay Biceps Tenodesis

Single versus Double Suture Anchor Configuration for Arthroscopic Onlay Biceps Tenodesis

Video Transcription

Video Summary

This study compared single versus double suture anchor constructs in arthroscopic biceps tenodesis to reduce Popeye deformity and improve outcomes. Data from 104 patients showed the two-anchor approach reduced Popeye deformity rates from 12% to 2%, with no differences in patient-reported outcomes, residual pain, or revision rates. The double-anchor method provides better fixation and tendon-to-bone healing but involves higher costs. The authors suggest using two anchors to minimize cosmetic deformity, especially in younger, active patients, while considering patient factors such as age and activity level when choosing the implant strategy.

Asset Caption

Dr. Matthew Cohn | The Thrower's Shoulder

Keywords

arthroscopic biceps tenodesis

single vs double suture anchors

Popeye deformity reduction

tendon-to-bone healing

patient-reported outcomes