AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Biceps Tenotomy and Tenodesis

Biceps Tenotomy and Tenodesis_ High, Low, Inside, or on the Bone

Video Transcription

Video Summary

Dr. Nick Hilverma discusses biceps tenotomy and tenodesis, emphasizing the biceps' anatomy, function, and pathology. He reviews indications for tenodesis, including inflammation, instability, rupture, and SLAP lesions, noting no major differences in clinical outcomes between tenotomy and tenodesis but highlighting cosmetic deformity risks with tenotomy. Surgical approaches are detailed, including zones of the biceps, arthroscopic versus open techniques, and fixation methods like onlay and inlay. Dr. Hilverma shares his preferred methods: arthroscopic onlay with two anchors and open subpectoral using interference screw fixation. Ultimately, the choice depends on surgeon preference and patient considerations.

Keywords

biceps tenotomy

biceps tenodesis

SLAP lesions

arthroscopic surgery

interference screw fixation