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Neculau DC, Avram GM, Kwapisz A, Scarlat MM, Obada B, Popescu IA. Long head of the biceps tendon versatility in reconstructive shoulder surgery: a narrative review of arthroscopic techniques and their biomechanical principles with video presentation. INTERNATIONAL ORTHOPAEDICS 2024; 48:1249-1256. [PMID: 38413413 DOI: 10.1007/s00264-024-06126-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 02/19/2024] [Indexed: 02/29/2024]
Abstract
The management of the long head of the biceps tendon (LHBT) during shoulder arthroscopy has been a subject of controversy for many years, with evolving discussions and trends. Despite long-standing debate, the nature of the surgical indication regarding how to treat concomitent LHBT injuries has undergone changes in recent years. It now extends beyond the timing of tenotomy to encompass considerations of alternative methods for preserving the LHBT, along with an ongoing exploration of how it can be effectively utilized in reconstructive shoulder surgery. Recent techniques describe approaches to using LHBT in a wide range of procedures, from shoulder instability to rotator cuff tears. Additionally, LHBT-based reconstructive techniques have surfaced for addressing what were formerly denoted as irreparable rotator cuff tears. While current literature provides detailed anatomical descriptions of the LHBT and many reports of novel, advanced techniques, there is still much debate regarding the decision-making process in each case. Because of the growing number of emerging techniques and the escalating debate in the subsequent paper, a decision has been made to present the current literature review concerning the potential utilization of LHBT in shoulder arthroscopy. In a dedicated video, we demonstrate the main arthroscopic techniques employed by the authors in their daily practice.
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Affiliation(s)
- Diana-Cosmina Neculau
- Romanian Shoulder Institute, ORTOPEDICUM - Orthopaedic Surgery & Sports Clinic, Bucharest, Romania
- SportsOrtho Department, Zetta Hospital, Bucharest, Romania
- Orthopaedics and Traumatology Department, Regio Clinic Elmshorn, Elmshorn, Germany
| | - George Mihai Avram
- Romanian Shoulder Institute, ORTOPEDICUM - Orthopaedic Surgery & Sports Clinic, Bucharest, Romania
- SportsOrtho Department, Zetta Hospital, Bucharest, Romania
- Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland
- Orthopaedics and Traumatology Department, Central Military Emergency Hospital Dr. Carol Davila, 010825, Bucharest, Romania
| | - Adam Kwapisz
- Clinic of Orthopedics and Pediatric Orthopedics, Medical University of Łódź, Lodz, Poland
| | | | - Bogdan Obada
- Orthopaedic Traumatology Department, Emergency Clinical County Hospital, Constanta, Romania
| | - Ion-Andrei Popescu
- Romanian Shoulder Institute, ORTOPEDICUM - Orthopaedic Surgery & Sports Clinic, Bucharest, Romania.
- SportsOrtho Department, Zetta Hospital, Bucharest, Romania.
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Lubowitz JH, Brand JC, Rossi MJ. AANA20: The 2020 Annual Meeting of the Arthroscopy Association of North America. Arthroscopy 2020; 36:925-927. [PMID: 32247416 PMCID: PMC7118611 DOI: 10.1016/j.arthro.2020.01.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Accepted: 01/30/2020] [Indexed: 02/02/2023]
Abstract
Arthroscopy, Arthroscopy Techniques, and Arthroscopy, Sports Medicine, and Rehabilitation will be in attendance in force at the 2020 Annual Meeting of the Arthroscopy Association of North America (AANA20). Program highlights and innovations include surgery simulcasts, "Great Debates," award-winning papers, Feature Lectures, and sessions glimpsing what is On the Horizon-and perhaps over and beyond.
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