Scope Essentials 2024-Biceps Tenodesis

Video Transcription

Video Summary

Dr. Nick Trasolini discusses biceps tenodesis, comparing arthroscopic and open techniques without advocating one over the other. He highlights proximal biceps pathology, indications for treatment, and the tenodesis vs. tenotomy debate, suggesting patient age, body habitus, preferences, and activity level guide decision-making. Key considerations include anatomy, surgical approach visibility, fixation methods, tension restoration, and risks like nerve injury or deformity. Studies show no significant outcome differences between techniques or fixation methods, though risks vary. Dr. Trasolini favors a mini-open subpectoral onlay technique with all-suture anchors for safety and cosmesis in high-risk patients, reserving arthroscopic methods for lower-demand cases or infection risk.

Asset Caption

Nicholas Trasolini, M.D.

Keywords

biceps tenodesis

arthroscopic vs open technique

proximal biceps pathology

tenodesis vs tenotomy

mini-open subpectoral onlay technique