Editorial Commentary: Biceps Tenodesis Fixation: Screw, Button, or None of the Above?

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Subpectoral Biceps Tenodesis: Interference Screw and Cortical Button Fixation

Bicep tendon pathology often arises from chronic overuse injuries, acute trauma, or degenerative changes in the glenohumeral joint. These injuries can cause significant shoulder pain, and can greatly limit range of motion and, in turn, activities of daily living. The diagnosis of biceps pathologies can be challenging, because patients often present with nonspecific symptoms. Some bicep tendon p...

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Biomechanical comparison of intramedullary cortical button fixation and interference screw technique for subpectoral biceps tenodesis.

PURPOSE The purpose of this study was to biomechanically evaluate a new technique of intramedullary cortical button fixation for subpectoral biceps tenodesis and to compare it with the interference screw technique. METHODS We compared intramedullary unicortical button fixation (BicepsButton; Arthrex, Naples, FL) with interference screw fixation (Bio-Tenodesis screw; Arthrex) for subpectoral b...

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Long Biceps Subpectoral Tenodesis With Suspensory Button and Bicortical Fixation

Tenodesis of the long head of the biceps (LHB) tendon has long been recognized as a valid alternative to address pathologic conditions of this tendon. However, the location and type of fixation is still a matter of discussion, because common complications associated with this procedure include failure of the repair, persistent pain, reaction to the fixation device, cosmetic deformity, and fract...

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Biceps Tenodesis with Interference Screw Fixation: A Biomechanical Comparison of Screw Size and Technique

Introduction Numerous surgical procedures have been developed to address pathology associated with the long head of the biceps tendon. Tenodesis might be preferred over tenotomy for several reasons, including improved cosmetic appearance, maintenance of elbow flexion and supination strength, and maintenance of the biceps muscle length-tension relationship. To our knowledge, there have been no s...

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Biceps tenodesis with interference screw fixation: a biomechanical comparison of screw length and diameter.

PURPOSE To evaluate the effect of screw length and diameter on the mechanical properties of biceps tenodesis (BT) with an interference screw in 2 different locations (proximal and distal). METHODS We randomized 42 fresh-frozen human cadaveric shoulders (mean age, 65 ± 8 years) into 6 groups (n = 7): arthroscopic proximal BT using 7 × 15-, 7 × 25-, 8 × 15-, or 8 × 25-mm interference screws or ...

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ژورنال

عنوان ژورنال: Arthroscopy: The Journal of Arthroscopic & Related Surgery

سال: 2020

ISSN: 0749-8063

DOI: 10.1016/j.arthro.2020.03.021