APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Optimizando el Biceps Proximal Tenotomia: Suprapec SubPec

Optimizando el Biceps Proximal Tenotomia: Suprapec SubPec

Video Transcription

Video Summary

The presentation discusses proximal biceps tendon management, highlighting various fixation techniques, from high joint margin to subpectoral levels. It emphasizes that fixation strength depends more on suture type—like the double loop technique—than on fixation site. The speaker shares clinical experiences, noting subpectoral tenodesis often resolves pain better than proximal fixation. Advances include onlay anchor fixings and full-height anchors requiring careful drilling and deployment to avoid fractures. A detailed surgical approach is described, including tendon preparation, anchor placement angled at 45 degrees, and firm suture fixation near the pectoral edge. The evolution of techniques aims for effective, aesthetic, and durable biceps repair.

Asset Caption

Faculty: Fernando Hernandez-Perez, M.D., FAANA

Keywords

proximal biceps tendon

fixation techniques

double loop suture

subpectoral tenodesis

onlay anchor fixation