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  • Title
  • 1. Surgical Approach
  • 2. Incision
  • 3. Superficial Dissection to Antebrachial Fascia
  • 4. Identification and Mobilization of Distal Biceps Tendon Stump
  • 5. Preparation of Tendon Stump
  • 6. Preparation of Proximal Radius Insertion Site
  • 7. Tenodesis Tendon Repair
  • 8. Remarks on Closure and Splint

Biceps Tenodesis for Distal Biceps Tendon Repair

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Harish S. Appiakannan, BS1; Amir R. Kachooei, MD, PhD2; Asif M. Ilyas, MD, MBA, FACS1,2
1 Sidney Kimmel Medical College at Thomas Jefferson University
2 Rothman Institute at Thomas Jefferson University

OrthopaedicsOrthopaedic TraumaHand Surgery

Procedure Outline

Table of Contents

  1. 1. Surgical Approach
    1. 2. Incision
      1. 3. Superficial Dissection to Antebrachial Fascia
        1. 4. Identification and Mobilization of Distal Biceps Tendon Stump
          1. 5. Preparation of Tendon Stump
            1. 6. Preparation of Proximal Radius Insertion Site
              1. 7. Tenodesis Tendon Repair
                1. 8. Remarks on Closure and Splint
                  1. Identification and Preservation of Lateral Antebrachial Nerve
                  1. Whip Stitches Through Tendon
                  2. Debride Distal End of Tendon Stump
                  3. Confirm Tendon Sizing
                  4. Mark Distal Centimeter of Tendon Stump
                  5. Place Shuttle Stitch
                  6. Place Limbs of Whip Stitch Through Distal Biceps Tendon Button
                  7. Place Button on Insertion Device
                  1. Deep Dissection to Proximal Radius
                  2. Sharp Excision of Tendon Remnant from Footprint
                  3. Decortication of Radial Tuberosity Footprint
                  1. Unicortical Placement of Guidewire in Radial Tuberosity
                  2. Confirm Guidewire Placement via Fluoroscopy
                  3. Advance Guidewire Through Second Cortex
                  4. Place 7.5-mm Acorn Reamer over Guidewire and Across First Cortex
                  5. Irrigation to Remove Bone Shavings
                  6. Place Biceps Button Through Both Cortices
                  7. Deliver Tendon Through Bone Tunnel
                  8. Deliver Second Limb of FiberWire Through Tendon via Previously Prepared Shuttle Stitch
                  9. Tie Two Ends Together to Lock Distal Biceps Tendon in Bone Tunnel
                  10. Examine First Point of Fixation
                  11. 7-mm Tenodesis Screw Placement for Second Point of Fixation
                  12. Tie Two Limbs of FiberWire Together for Third Point of Fixation

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                  Filmed At:

                  Rothman Institute

                  Article Information

                  Publication Date
                  Article ID335
                  Production ID0335
                  Volume2023
                  Issue335
                  DOI
                  https://doi.org/10.24296/jomi/335