The Biceps Tendon: From Proximal to Distal by David Y. Ding, Garret Garofolo, Dylan Lowe, Eric J....

The Biceps Tendon: From Proximal to Distal

by David Y. Ding, Garret Garofolo, Dylan Lowe, Eric J. Strauss, and Laith M. Jazrawi

J Bone Joint Surg AmVolume 96(20):e176

October 15, 2014

©2014 by The Journal of Bone and Joint Surgery, Inc.

Illustration (left) of the biceps pulley with corresponding proton density-weighted saline solution MR arthrograms and bandsaw sagittal sections of a cadaver specimen through the medial (Fig.

1-A), middle (Fig. 1-B), and lateral (Fig. 1-C) portions of the r...

David Y. Ding et al. J Bone Joint Surg Am 2014;96:e176


The pulley type variant described by Kanatli et al.8 has a double-pulley effect providing counter-traction to the proximal portion of the tendon, increasing anterolateral traction on the superior

labral complex and leading to more labral pathology.



3-T T2-weighted axial MRI showing the LHB lying in the bicipital groove (left) and medially subluxated as a result of a subscapularis tendon (SSc) rupture.



The exposure of the bicipital groove involves retraction of the deltoid and pectoralis muscles superolaterally and retraction of the short head of the biceps brachii and coracobrachialis

muscles medially.



A unicortical drill hole slightly larger than the LHB diameter is made at the distal aspect of the bicipital groove.



Figs. 5-A and 5-B Bicortical button fixation of the long head of the biceps.



Interference screw fixation.



T2-weighted MRI showing complete rupture of the distal aspect of the biceps tendon (arrowhead), with the tendon end retracted approximately 1.4 cm into the upper arm.



Figs. 8-A through 8-D Cortical button repair of a distal biceps rupture.



The Biceps Tendon: From Proximal to Distal by David Y. Ding, Garret Garofolo, Dylan Lowe, Eric J....

Documents

Transcript of The Biceps Tendon: From Proximal to Distal by David Y. Ding, Garret Garofolo, Dylan Lowe, Eric J....