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Arthroscopic Biceps Tenodesis by Bicortical Drilling Technique.

Arthrosc Tech 2021 Apr 2;10(4):e941-e948. Epub 2021 Mar 2.

Department of Orthopaedics, Faculty of Medicine, Thammasat University Hospital, Pathumthani, Thailand.

Pain arising from the long head of biceps tendon can cause significant disability of the shoulder. In young and physically demanding patients, biceps tenodesis is advised, in which the biceps tendon is cut from the native origin and fixed distally. Many methods have been proposed for this. Read More

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Open Reduction and Internal Fixation with a Locking Plate Via Deltopectoral Approach for the Treatment of Three and Four-Part and Proximal Humeral Fractures.

JBJS Essent Surg Tech 2018 Dec 10;8(4):e26. Epub 2018 Oct 10.

Vanderbilt Orthopaedic Trauma, Vanderbilt University Medical Center, Nashville, Tennessee.

Open reduction and internal fixation (ORIF) via the deltopectoral approach is the gold standard for operatively treated proximal humeral fractures when joint preservation is desired. Indications include an unacceptable deformity, need for stability and early mobilization, and osteoporotic bone. (1) A 12 to 14-cm incision is made in the deltopectoral groove. Read More

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December 2018

Volar Anatomy of the Proximal Phalanx: Implications for Screw Length Selection for Fixation of Shaft Fractures.

J Hand Surg Am 2017 Mar;42(3):e149-e157

Department of Orthopaedics, University of North Carolina, Chapel Hill, NC. Electronic address:

Purpose: To investigate the anatomy of the volar surface of the proximal phalanx of the hand, specifically the longitudinal groove running along the volar phalangeal shaft.

Methods: We measured skeletonized proximal phalanges from 10 embalmed human cadaver hands at 5 equidistant points along the shaft. The difference between the maximum dorsal-palmar thickness of the shaft and thickness measured from the center of the volar groove to the most dorsal aspect of the phalanx indicated the depth of the groove at each point. Read More

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Clinical and Sonographic Evaluation of Bicortical Button for Proximal Biceps Tenodesis.

Am J Orthop (Belle Mead NJ) 2016 Jul-Aug;45(5):E283-9

Lake Tahoe Sports Medicine Fellowship, Lake Tahoe, NV.

Use of a cortical button for proximal biceps tenodesis has demonstrated strength comparable to that of other types of fixation in biomechanical models, but few studies have evaluated the clinical outcome of such fixation. In the study reported here, 18 patients who underwent open subpectoral biceps tenodesis with a bicortical button were assessed, at minimum 12-month follow-up, with the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, a pain scale, physical examination, biceps supination strength testing, and ultrasonographic evaluation (to determine tenodesis integrity and proximity of the button to the axillary nerve). No patient had symptoms of axillary nerve damage, clinical deformity, or tenodesis failure. Read More

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February 2017

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis: Radiographic Characteristics.

Arthroscopy 2016 11 3;32(11):2234-2242. Epub 2016 Jun 3.

Center for Shoulder, Elbow and Sports Medicine, Columbia University, New York, New York, U.S.A.. Electronic address:

Purpose: To provide a detailed account of the location of the long head of the biceps (LHB) tenodesis tunnels using an all-arthroscopic suprapectoral technique in a prospective group of patients. These patients were then compared with a retrospective group of open subpectoral tenodesis patients of similar characteristics.

Methods: Postoperative radiographs from a prospective group of all-arthroscopic suprapectoral LHB tenodeses were compared with a retrospective group of open subpectoral tenodeses. Read More

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November 2016

[Retrograde intramedullary nailing for periprosthetic fractures of the distal femur].

Authors:
R Biber H J Bail

Oper Orthop Traumatol 2014 Oct 13;26(5):438-54. Epub 2014 Sep 13.

Universitätsklinik für Unfall- und Orthopädische Chirurgie, Paracelsus Medizinische Privatuniversität , Breslauer Str. 201, 90471, Nürnberg, Deutschland,

Objective: Intramedullary stabilization of periprosthetic distal femoral fractures by interlocking nailing. Closed reduction by retrograde nail can be combined with the use of transmedullary support screws (TMS principle of Stedtfeld).

Indications: Supracondylar fractures above stable knee arthroplasty (Rorabeck types I and II), femoral shaft fractures ipsilateral of stable hip and/or knee arthroplasty, contraindications for antegrade nailing

Contraindications: Closed box design of femoral implant, intercondylar distance of the femoral component smaller than nail diameter, more than 40° flexion deficit of the knee, inability to place two bicortical distal interlocking screws. Read More

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October 2014

Proximity of the axillary nerve during bicortical drilling for biceps tenodesis.

Knee Surg Sports Traumatol Arthrosc 2016 Jun 10;24(6):1925-30. Epub 2014 Aug 10.

Musculoskeletal Research Unit, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, UK.

Purpose: Pathology of the biceps tendon can contribute to significant shoulder pain and dysfunction for which biceps tenodesis may be indicated. A variety of techniques tenodesing the biceps tendon have been described. Recently, tenodesis using a uni- or bicortical button has been advocated. Read More

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Nerve proximity during bicortical drilling for subpectoral biceps tenodesis: a cadaveric study.

Arthroscopy 2014 Aug 25;30(8):942-6. Epub 2014 May 25.

Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York, U.S.A.

Purpose: The long head of the biceps can develop tendonitis and tendinosis, which can lead to pain in the bicipital groove. The use of bicortical button fixation allows for a smaller defect in the humerus compared with tenodesis screws, reducing the risk of fracture. Our objective is to evaluate the exit location of our bicortical button and its relation to relevant posterior nervous structures. Read More

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