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Arthroscopy Techniques
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    • Cover Image - Arthroscopy Techniques, Volume 12, Issue 5
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  • Technical Note
    Open Access

    Nanoscopic Distal Biceps Repair With Cortical Button and Interference Screw

    Arthroscopy Techniques
    Vol. 12Issue 2e153–e159Published online: January 18, 2023
    • Felipe Reinares
    • Francisca de la Maza
    • Joaquin de la Paz
    • Manuela Angulo
    • Juan Jose Lecaros
    • Francisco Ruiz Jimenez
    Cited in Scopus: 0
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    Distal biceps pathology can be addressed using different techniques, each with its advantages and disadvantages. The current trend is to move toward minimally invasive procedures based on feasibility and known clinical benefits. Endoscopy for distal biceps pathology is a safe procedure. Through the NanoScope, this procedure is even more effective and safer.
    Nanoscopic Distal Biceps Repair With Cortical Button and Interference Screw
  • Technical Note
    Open Access

    Revision Distal Biceps Tendon Repair Using Original Intramedullary Buttons

    Arthroscopy Techniques
    Vol. 12Issue 2e297–e300Published online: January 18, 2023
    • Bryan Adams
    • Bobby Yow
    • Christopher Daniels
    • Emily Morgan
    Cited in Scopus: 0
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    There are several techniques used for tendon fixation in distal biceps tendon repair. Intramedullary unicortical button fixation has the advantage of high biomechanical strength, minimal proximal radial bone removal, and low risk of injury to the posterior interosseous nerve. One disadvantage in revision surgery is retained implants in the medullary canal. This article describes a novel technique for revision distal biceps repair initially fixed with intramedullary unicortical buttons, using the original implants.
    Revision Distal Biceps Tendon Repair Using Original Intramedullary Buttons
  • Technical Note
    Open Access

    Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers

    Arthroscopy Techniques
    Vol. 7Issue 2e179–e183Published online: February 1, 2018
    • Jimmy Tat
    • Adam Hart
    • Adam Cota
    • Khalid Alsheikh
    • Dominique Behrends
    • Paul A. Martineau
    Cited in Scopus: 4
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    Distal biceps tendon ruptures are treated operatively in active healthy individuals. Treatment consists of either single- or double-incision techniques, each with its own set of advantages and complications. The double incision was traditionally preferred for a more anatomic reattachment of the distal biceps tendon, but there has been renewed interest in the single-incision anterior approach given its lower risk for heterotopic ossification. However, current single-incision techniques cannot achieve anatomic reconstruction of the distal biceps because of a restricted operational angle with standard rigid instruments.
    Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers
  • Technical Note
    Open Access

    Single-Incision Anatomic Repair Technique for Distal Biceps Tendon Rupture Using Tunneling Device

    Arthroscopy Techniques
    Vol. 6Issue 4e945–e950Published online: July 3, 2017
    • Jon E. Hammarstedt
    • David D. Savin
    • Benjamin A. Goldberg
    Cited in Scopus: 5
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    Distal biceps tendon ruptures are uncommon and generally occur in men aged 30 to 50 years in their dominant arm as a result of a strong eccentric load. Numerous surgical exposures and methods of fixation exist for repair of a ruptured distal biceps tendon. The goal of surgical management is to restore the anatomic footprint of the biceps tendon on the radial tuberosity to maximize flexion strength, supination strength, and muscle endurance. When compared with 2-incision repair techniques, single-incision repairs historically may not have restored the anatomic footprint of the distal biceps.
    Single-Incision Anatomic Repair Technique for Distal Biceps Tendon Rupture Using Tunneling Device
  • Technical Note
    Open Access

    Chronic Distal Biceps Repair With an Achilles Allograft

    Arthroscopy Techniques
    Vol. 5Issue 3e525–e529Published online: May 23, 2016
    • David Y. Ding
    • William E. Ryan
    • Eric J. Strauss
    • Laith M. Jazrawi
    Cited in Scopus: 12
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    In cases of chronic distal biceps ruptures, the combination of muscle atrophy, distal tendon retraction, and fibrosis makes primary anatomic reattachment of the tendon particularly challenging. To regain tendon length and avoid flexion contractures, reconstruction with graft augmentation has been proposed as an alternative for cases not amenable to primary repair. We describe our technique using an Achilles allograft through a modified Henry approach to reconstruct the distal biceps tendon to regain length as well as restore flexion and supination strength.
    Chronic Distal Biceps Repair With an Achilles Allograft
  • Technical Note
    Open Access

    Single-Incision Technique for Repair of Distal Biceps Tendon Avulsions With Intramedullary Cortical Button

    Arthroscopy Techniques
    Vol. 5Issue 2e303–e307Published online: March 28, 2016
    • Christopher L. Camp
    • Pramod B. Voleti
    • Keith T. Corpus
    • Joshua S. Dines
    Cited in Scopus: 11
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    Patients who experience distal biceps tendon avulsions generally benefit from surgical intervention. Compared with nonoperative treatment, surgery has shown improved muscle endurance as well as increased flexion and supination strength. Although a number of surgical techniques exist, repair of the distal biceps through a single incision is gaining popularity. This may be due in part to patient preference and emerging technologies such as cortical button fixation, suture anchors, and intraosseous screws.
    Single-Incision Technique for Repair of Distal Biceps Tendon Avulsions With Intramedullary Cortical Button
  • Technical Note
    Open Access

    Endoscopic Distal Biceps Repair: Endoscopic Anatomy and Dual-Anchor Repair Using a Proximal Anterolateral “Parabiceps Portal”

    Arthroscopy Techniques
    Vol. 4Issue 6e785–e793Published online: December 9, 2015
    • Deepak N. Bhatia
    Cited in Scopus: 24
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    Distal biceps rupture is associated with significant functional disability, and surgical treatment involves open or endoscopic-assisted repair of the ruptured tendon through an anterior incision. This report describes an endoscopic approach that is performed with 2 portals for visualization and instrumentation. Preoperative sonography is used to identify bony and soft-tissue landmarks. The viewing portal is a proximal anterolateral “parabiceps portal” developed by the author, and the landmarks and relevant anatomic relations have been derived from a preliminary anatomic study.
    Endoscopic Distal Biceps Repair: Endoscopic Anatomy and Dual-Anchor Repair Using a Proximal Anterolateral “Parabiceps Portal”
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