AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Tenodesis bicipital Tecnica quirurgica

Video Transcription

Video Summary

The video explains different bicipital tenodesis techniques: subpectoral (mini-open below pectoralis), lower suprapectoral (arthroscopic release of synovial sheath), and upper suprapectoral methods. Critical steps include releasing ligament constrictions around the bicipital groove and safely handling nerves. The subpectoral technique involves drilling a hole and securing the tendon with a soft block. The lower suprapectoral method is favored for pure synovitis, with complete synovial release and tendon fixation in the groove. Upper suprapectoral tenodesis is simpler but less favored. Choice depends on pathology, surgeon experience, and complexity, with subpectoral preferred if biceps is dislocated beneath subscapularis.

Keywords

bicipital tenodesis

subpectoral technique

suprapectoral methods

synovial sheath release

biceps tendon fixation