caa a22 4500 60546037X CHVBK 20210128100238.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00167-014-3348-z doi (NATIONALLICENCE)springer-10.1007/s00167-014-3348-z Subpectoral biceps tenodesis: a new technique using an all-suture anchor fixation [Elektronische Daten] [Wei-Ren Su, Florence Ling, Chih-Kai Hong, Chih-Hsun Chang, Cheng-Li Lin, I-Ming Jou] There are several options for LHB tenodesis; yet, there is no standard of care. This technical note describes an extramedullary all-suture anchor technique for LHB tenodesis that is similar to the extramedullary cortical button technique. The LHB tenodesis is performed by using the Y-Knot (1.3-mm; ConMed Linvatec, Largo, FL).The biceps tenotomy is completed arthroscopically, and a standard subpectoral approach is used for the tenodesis. A reamer is first used to drill through the anterior cortex of the humerus; subsequently, a 1.3-mm drill bit is used to drill through the posterior cortex. The Y-Knot anchor is passed through the bone tunnel and secured on the posterior cortical bone. A modified rolling hitch suture is placed 10mm distal to the end of the LHB tendon by using one suture limb of the Y-Knot anchor. The other suture limb is pulled to shuttle the LHB tendon into the humerus, and the construct is fixed by tying down one limb to the other. This technical note describes an alternative method for subpectoral biceps tenodesis and uses a small drill hole, conserves bone, and minimizes trauma to the tendon. Level of evidence V. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Subpectoral biceps tenodesis nationallicence All-suture anchor nationallicence Y-Knot anchor nationallicence Cortical button nationallicence Su Wei-Ren Department of Orthopaedic Surgery, National Cheng Kung University Hospital, 138 Sheng Li Road, 704, Tainan, Taiwan aut Ling Florence University of Texas Health Science Center at San Antonio School of Medicine, San Antonio, USA aut Hong Chih-Kai Department of Medicine, National Cheng Kung University College of Medicine, Tainan, Taiwan aut Chang Chih-Hsun Department of Medicine, National Cheng Kung University College of Medicine, Tainan, Taiwan aut Lin Cheng-Li Department of Orthopaedic Surgery, National Cheng Kung University Hospital, 138 Sheng Li Road, 704, Tainan, Taiwan aut Jou I-Ming Department of Orthopaedic Surgery, National Cheng Kung University Hospital, 138 Sheng Li Road, 704, Tainan, Taiwan aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 596-599 0942-2056 23:2<596 2015 23 167 https://doi.org/10.1007/s00167-014-3348-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3348-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Su Wei-Ren Department of Orthopaedic Surgery, National Cheng Kung University Hospital, 138 Sheng Li Road, 704, Tainan, Taiwan aut NATIONALLICENCE 700 1- Ling Florence University of Texas Health Science Center at San Antonio School of Medicine, San Antonio, USA aut NATIONALLICENCE 700 1- Hong Chih-Kai Department of Medicine, National Cheng Kung University College of Medicine, Tainan, Taiwan aut NATIONALLICENCE 700 1- Chang Chih-Hsun Department of Medicine, National Cheng Kung University College of Medicine, Tainan, Taiwan aut NATIONALLICENCE 700 1- Lin Cheng-Li Department of Orthopaedic Surgery, National Cheng Kung University Hospital, 138 Sheng Li Road, 704, Tainan, Taiwan aut NATIONALLICENCE 700 1- Jou I-Ming Department of Orthopaedic Surgery, National Cheng Kung University Hospital, 138 Sheng Li Road, 704, Tainan, Taiwan aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 596-599 0942-2056 23:2<596 2015 23 167