AANA Shoulder Arthroscopy - August 2024-Biceps Tenotomy and Tenodesis

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

Video Transcription

Video Summary

Dr. Nick Hilverma from Rush University discusses biceps tenotomy and tenodesis, emphasizing biceps anatomy and surgical zones for optimal tenodesis placement. He highlights that tenotomy and tenodesis yield similar clinical outcomes, but tenotomy risks a "Popeye deformity." Tenodesis suits patients with high shoulder demands or cosmetic concerns, despite longer rehab and higher complication risks. Recent trends favor arthroscopic techniques with various fixation methods showing comparable results. Dr. Hilverma prefers an arthroscopic onlay technique with two anchors or an open subpectoral approach using interference screw fixation. Ultimately, procedure choice depends on surgeon expertise and patient factors.

Asset Caption

Nikhil Verma, MD

Keywords

biceps tenotomy

biceps tenodesis

Popeye deformity

arthroscopic techniques

surgical fixation methods