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The long head of the biceps passes through the shoulder joint and attaches to the labrum. During a biceps tenodesis procedure, the surgeon cuts the attachment of the biceps tendon from the labrum and reattaches it to the humerus bone by tacks. By doing this, pressure is relieved from the labrum significantly reducing pain.
conjoint tendon of shoulder i.e short head of the biceps and coracobrachialis, acting as a sling on the subscapularis and capsule with the arm abducted and externally rotated; increasing or restoring the glenoid bone; and; repair of the capsule to the stump of coracoacromial ligament. [2]
Biceps tenodesis includes the release of the long head of the biceps tendon off of its insertion on the glenoid and re-attachment by screw or suture anchor fixation to the humerus. Biceps tenotomy consists of a simple release of the long head of the biceps without reattachment to the humerus, allowing the tendon to retract into the soft tissues ...
Biceps tenotomy and tenodesis are often performed concomitantly with rotator cuff repair or as separate procedures, and can also cause shoulder pain. Tenodesis, which may be performed as an arthroscopic or open procedure, generally restores pain free motion it the biceps tendon, or attached portion of the labrum, but can cause pain.
It identifies the presence of a pathology involving the biceps tendon or glenoid labrum. The specific positive findings to the test include pain in the bicipital groove indicating biceps tendinitis , [ 2 ] [ 3 ] subluxation of the long head of the biceps brachii muscle , [ 3 ] and presence of a SLAP tear .
A SLAP tear or SLAP lesion is an injury to the superior glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity in the shoulder blade) that initiates in the back of the labrum and stretches toward the front into the attachment point of the long head of the biceps tendon.
A publication by Friedenberg [21] was the starting point for future indications of biceps-to-triceps transfers, including those of Zancolli, [22] Hentz et al., Kuts et al., Allieu et al. and Revol et al. Another major change was the change to one-step procedures, reconstructiong opening and closing phases at the same time.
Arthroscopy is commonly used for treatment of diseases of the shoulder including subacromial impingement, acromioclavicular osteoarthritis, rotator cuff tears, frozen shoulder (adhesive capsulitis), chronic tendonitis, removal of loose bodies and partial tears of the long biceps tendon, SLAP lesions and shoulder instability. The most common ...
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