Abstract

Biceps tenodesis is an accepted treatment option for various pathologies of the long head of the biceps tendon (LHBT) and labrum. Many techniques have been published, both arthroscopic and open, that utilize various fixation techniques and locations of the tenodesis, yet none has been proven to be superior. We introduce a novel method, the S.A.L.S.A (subacromial locking stitch anchor), of all-arthroscopic suprapectoral biceps tenodesis utilizing a running locking stitch from a double loaded biocomposite anchor. This technique provides a reliable method of multi-point fixation including the transverse humeral ligament that avoids many of the potential complications encountered with other techniques.

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