Abstract
Isolated pathology of the long head of the biceps is an indication for biceps tenotomy. To date, needle arthroscopy allows a direct diagnosis of shoulder lesion. We aimed to evaluate the technical feasibility of an in-office biceps isolated tenotomy by needle arthroscopy. Advantages were found in the fast-track process and the high rate of satisfaction in our selected patients. It was also a way to correct the diagnosis of torn biceps missed by the imaging. However, performing this procedure requires previous experience in conventional arthroscopy and should not be performed on anxious patients. Further studies will be necessary to confirm the reproducibility of this promising method, which could be a valuable alternative to heavy in-operating room process.
Highlights
Isolated pathology of the long head of the biceps is an indication for biceps tenotomy
The most common arthroscopic treatment consists of removing the intra-articular portion of the long head of the biceps (LHB) and performing tenotomy with or without tenodesis in the bicipital groove
The purpose of the present study is to assess the feasibility of in-office biceps tenotomy (IOBT) with a needle arthroscopy
Summary
Isolated pathology of the long head of the biceps is an indication for biceps tenotomy. It was a way to correct the diagnosis of torn biceps missed by the imaging Performing this procedure requires previous experience in conventional arthroscopy and should not be performed on anxious patients. The literature reports little advantage in tenodesis giving less biceps deformity (Popeye sign), especially in young patients; this technique requires a longer operating time, greater implant costs, and sometimes more complications. It appears that isolated biceps tenotomy could be an interesting option with the same benefit on pain,[2] especially in older or nonathlete patients with earlier improvement in postoperative. An ethical agreement was obtained (institutional research board: 2020-SH01-01)
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