Tenotomy
Scapula
Encyclopedias as Topic
Shoulder
Shoulder Joint
Shoulder Pain
Tenodesis is a surgical procedure where a damaged or torn tendon is attached to a nearby bone using sutures, anchors, or screws. The term specifically refers to the surgical fixation of a tendon to a bone. This procedure is often performed to treat injuries of the shoulder or wrist, such as rotator cuff tears or distal biceps tendon ruptures.
The goal of tenodesis is to provide stability and restore function to the affected joint by creating a new, stable attachment point for the tendon. This procedure can help reduce pain, improve strength, and enhance overall joint mobility. It is typically recommended when non-surgical treatments have failed or are not appropriate for the patient's injury.
It is important to note that tenodesis should not be confused with tenotomy, which is a surgical procedure where a tendon is cut to release tension and improve mobility in a joint.
Tenotomy is a surgical procedure where a tight or contracted tendon is cut to help relieve tension, improve mobility, and treat various musculoskeletal conditions. Tendons are strong bands of tissue that connect muscles to bones. In some cases, tendons can become shortened, thickened, or stiff due to injury, disease, or overuse, leading to limited movement, pain, or deformity.
During a tenotomy, the surgeon locates the affected tendon and carefully incises it, allowing the attached muscle to lengthen gradually. This procedure can be performed on different tendons throughout the body, depending on the specific condition being addressed. Tenotomy is often used in conjunction with other treatments, such as physical therapy or casting, to ensure optimal recovery and functional improvement.
Common indications for tenotomy include:
1. Contractures in children with cerebral palsy or other neurological disorders
2. Shortening of the Achilles tendon (equinus deformity) in adults with foot drop or spasticity
3. Dupuytren's contracture, a thickening and shortening of the palmar fascia in the hand
4. Trigger finger, a condition where the flexor tendon in the finger becomes stuck due to nodule formation
5. Certain types of tendon injuries or tears that do not respond to non-surgical treatment.
The scapula, also known as the shoulder blade, is a flat, triangular bone located in the upper back region of the human body. It serves as the site of attachment for various muscles that are involved in movements of the shoulder joint and arm. The scapula has several important features:
1. Three borders (anterior, lateral, and medial)
2. Three angles (superior, inferior, and lateral)
3. Spine of the scapula - a long, horizontal ridge that divides the scapula into two parts: supraspinous fossa (above the spine) and infraspinous fossa (below the spine)
4. Glenoid cavity - a shallow, concave surface on the lateral border that articulates with the humerus to form the shoulder joint
5. Acromion process - a bony projection at the top of the scapula that forms part of the shoulder joint and serves as an attachment point for muscles and ligaments
6. Coracoid process - a hook-like bony projection extending from the anterior border, which provides attachment for muscles and ligaments
Understanding the anatomy and function of the scapula is essential in diagnosing and treating various shoulder and upper back conditions.
An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.
In anatomical terms, the shoulder refers to the complex joint of the human body that connects the upper limb to the trunk. It is formed by the union of three bones: the clavicle (collarbone), scapula (shoulder blade), and humerus (upper arm bone). The shoulder joint is a ball-and-socket type of synovial joint, allowing for a wide range of movements such as flexion, extension, abduction, adduction, internal rotation, and external rotation.
The shoulder complex includes not only the glenohumeral joint but also other structures that contribute to its movement and stability, including:
1. The acromioclavicular (AC) joint: where the clavicle meets the acromion process of the scapula.
2. The coracoclavicular (CC) ligament: connects the coracoid process of the scapula to the clavicle, providing additional stability to the AC joint.
3. The rotator cuff: a group of four muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) that surround and reinforce the shoulder joint, contributing to its stability and range of motion.
4. The biceps tendon: originates from the supraglenoid tubercle of the scapula and passes through the shoulder joint, helping with flexion, supination, and stability.
5. Various ligaments and capsular structures that provide additional support and limit excessive movement in the shoulder joint.
The shoulder is a remarkable joint due to its wide range of motion, but this also makes it susceptible to injuries and disorders such as dislocations, subluxations, sprains, strains, tendinitis, bursitis, and degenerative conditions like osteoarthritis. Proper care, exercise, and maintenance are essential for maintaining shoulder health and function throughout one's life.
The arm bones are referred to as the humerus, radius, and ulna. The humerus is the upper arm bone that connects the shoulder to the elbow. The radius and ulna are the two bones in the forearm that extend from the elbow to the wrist. Together, these bones provide stability, support, and mobility for the arm and upper limb.
The shoulder joint, also known as the glenohumeral joint, is the most mobile joint in the human body. It is a ball and socket synovial joint that connects the head of the humerus (upper arm bone) to the glenoid cavity of the scapula (shoulder blade). The shoulder joint allows for a wide range of movements including flexion, extension, abduction, adduction, internal rotation, and external rotation. It is surrounded by a group of muscles and tendons known as the rotator cuff that provide stability and enable smooth movement of the joint.
Shoulder pain is a condition characterized by discomfort or hurt in the shoulder joint, muscles, tendons, ligaments, or surrounding structures. The shoulder is one of the most mobile joints in the body, and this mobility makes it prone to injury and pain. Shoulder pain can result from various causes, including overuse, trauma, degenerative conditions, or referred pain from other areas of the body.
The shoulder joint is a ball-and-socket joint made up of three bones: the humerus (upper arm bone), scapula (shoulder blade), and clavicle (collarbone). The rotator cuff, a group of four muscles that surround and stabilize the shoulder joint, can also be a source of pain if it becomes inflamed or torn.
Shoulder pain can range from mild to severe, and it may be accompanied by stiffness, swelling, bruising, weakness, numbness, tingling, or reduced mobility in the affected arm. The pain may worsen with movement, lifting objects, or performing certain activities, such as reaching overhead or behind the back.
Medical evaluation is necessary to determine the underlying cause of shoulder pain and develop an appropriate treatment plan. Treatment options may include rest, physical therapy, medication, injections, or surgery, depending on the severity and nature of the condition.
Shoulder dislocation is a medical condition where the head of the humerus (upper arm bone) gets displaced from its normal position in the glenoid fossa of the scapula (shoulder blade). This can occur anteriorly, posteriorly, or inferiorly, with anterior dislocations being the most common. It is usually caused by trauma or forceful movement and can result in pain, swelling, bruising, and limited range of motion in the shoulder joint. Immediate medical attention is required to relocate the joint and prevent further damage.
Shoulder surgery
Biceps
Rotator cuff tear
Biceps tendon rupture
Upper-limb surgery in tetraplegia
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"Arthroscopic Tenodesis of the Long Head of the Biceps" by M. E. Birns, J. J. Mbabuike et al.
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Alfred Atanda, MD - Pediatric OrthopedicsTenotomy5
- Results presented at the Arthroscopy Association of North America Annual Meeting showed favorable results with both tenodesis and tenotomy in the treatment of lesions of the long head of the biceps tendon. (joshuafrankmd.com)
- Treatment options include open or arthroscopic techniques for tenodesis vs tenotomy. (hofstra.edu)
- Biceps tenotomy or tenodesis was the most common shoulder procedure. (medscape.com)
- Subpectoral biceps tenodesis Yogesh Joshi, Chetan Bhalla, Mehek Asad and Asad Syed discuss differing techniques for the repair, tenotomy and. (opnews.com)
- Arthorscopic versus open biceps tenodesis/tenotomy is indicated for recurrent symptoms. (orthobullets.com)
Subpectoral biceps6
- The purpose of this study was to evaluate the outcomes of patients undergoing subpectoral biceps tenodesis for bicipital tendonitis with a superior labral anterior-posterior (SLAP) tear. (sportssurgerychicago.com)
- Patients undergoing primary subpectoral biceps tenodesis for arthroscopically confirmed SLAP tears with signs or findings of bicipital tendonitis were included. (sportssurgerychicago.com)
- Subpectoral biceps tenodesis demonstrates excellent clinical outcomes in select patients with SLAP tears. (sportssurgerychicago.com)
- Return to Sport and Patient-Reported Outcomes After Subpectoral Biceps Tenodesis for SLAP Tear in Collegiate Gymnasts. (qxmd.com)
- Gymnasts aged ≤25 years who underwent open subpectoral biceps tenodesis for SLAP tears with or without biceps tendon pathology between August 20, 2014, and August 20, 2019, and who had minimum 2-year follow-up data were included in this study. (qxmd.com)
- Patients who underwent arthroscopic suprapectoral biceps tenodesis had no differences in patient-reported outcome measures when compared with patients who underwent open subpectoral biceps tenodesis, according to results of a randomized prospective analysis published in Arthroscopy. (toolesportsmedicine.com)
Proximal biceps tendon6
- Proximal biceps tenodesis is the surgical reattachment of a torn proximal biceps tendon, which connects the upper part of your biceps muscle to the shoulder. (bostonjointpreservation.com)
- What causes a Proximal Biceps Tendon Tear? (bostonjointpreservation.com)
- Ruptures can occur at the proximal or distal biceps tendon, with 90-97% of tears involving the proximal biceps tendon. (medscape.com)
- Current recommendations advise, for most patients, an initial course of conservative (nonoperative) management for proximal biceps tendon tears. (medscape.com)
- Ruptures of the proximal biceps tendon make up 90-97% of all biceps ruptures and almost exclusively involve the long head. (medscape.com)
- Shoulder pathology, specifically symptomatic rotator cuff tears, has been reported in 46-82% of patients with proximal biceps tendon pathology. (medscape.com)
Bankart Repair1
- repair of the capsular ligaments (Bankart repair) repair of the biceps long head anchor or SLAP lesion tightening of the shoulder capsule (capsulorrhaphy or capsular shift) Open Repairs (for dislocations with fractures, etc. (wikipedia.org)
Surgical5
- In this article, we describe a modified surgical technique of open supra-pectoral long head of biceps tenodesis using an EndoButton tension slide technique, reproducing an anatomic length-tension relationship. (openorthopaedicsjournal.com)
- Discuss and explain why biceps tenodesis is considered as a surgical option for SLAP tear in the overhead athlete. (sportsmed.org)
- Biceps Tenodesis Surgery Surgical treatment of the shoulder due to potential biceps tendonitis or a tear of the labrum otherwise known as a SLAP tear. (wikipedia.org)
- In distal biceps tendon tears, most patients proceed to surgical management. (medscape.com)
- Generally accepted clinical guidelines advocate surgical repair consisting of tenodesis and subacromial decompression proximally (or anatomic reattachment distally) for young or athletic patients or for persons who require maximum supination strength. (medscape.com)
Ruptures5
- The vast majority of biceps tendon ruptures occurs at the proximal insertion and almost always involves the long head. (openorthopaedicsjournal.com)
- Tendon ruptures of the biceps brachii, one of the dominant muscles of the arm, have been reported in the United States with increasing frequency. (medscape.com)
- In most cases, proximal or distal biceps tendon ruptures can be detected on the basis of history and physical examination alone. (medscape.com)
- As previously noted, biceps ruptures have been reported in the United States with increasing frequency. (medscape.com)
- The reason it's called a Popeye deformity is because the biceps ruptures up here. (orthopedicsportsdoctor.com)
Arthroscopy2
- The surgery may be performed by arthroscopy (keyhole surgery) or open surgery if proximal bicep tenodesis is part of a larger surgery. (bostonjointpreservation.com)
- Alfonso Arevalo, DO `17, resident, orthopaedic surgery and Joseph Wazen, DO, resident, orthopaedic surgery, co-authored "Arthroscopic Suprapectoral Biceps Tenodesis: The Best of Both Worlds," which was published in the journal Arthroscopy Techniques . (pcom.edu)
Suture anchor fixation1
- Forsythe B, Patel HH, Berlinberg EJ, Forlenza EM, Okoroha KR, Williams BT et al (2023) A radiostereometric analysis of tendon migration after arthroscopic and mini-open biceps tenodesis: interference screw versus single suture anchor fixation. (springer.com)
Fixation8
- This article provides a review of the all-arthroscopic biceps tenodesis technique using proximal interference screw fixation and its subsequent postoperative regimen. (hofstra.edu)
- Rupture of distal biceps: power analysis and complications after anatomic reinsertion compared with fixation to brachialis. (wheelessonline.com)
- Tenodesis was performed using a subpectoral technique with bicortical button fixation. (qxmd.com)
- Tenodesis Screws™ may be used in conjunction with #2 or 2-0 FiberWire ® to facilitate intraoperative tissue tensioning and fixation in a predrilledsocket. (arthrex.com)
- BioComposite, PLLA, vented PEEK or titanium Tenodesis Screwinsertion provides superior and immediate fixation for foot and ankleindications such as Achilles repair, FDL, FHL tendon transfers and lateralligament stabilization. (arthrex.com)
- The system can also be used for applications in thehand and elbow (UCL, LRTI, distal biceps), shoulder (rotator cuff repair,proximal biceps), as well as collateral ligament repair, reconstruction andsecondary graft or suture fixation for ACL, PCL reconstruction. (arthrex.com)
- The Tenodesis Screws are part of the Bio-TenodesisScrew System which eliminates transosseous tunnels in tendon repairsand ligament reconstructions by simplifying tissue fixation in a bone socketwhile maintaining tension of the tissue throughout fixation. (arthrex.com)
- Additionally, with suture anchors, suspensory fixation and tenodesis screws options for both on-lay and in-lay, there are a myriad of options available to make the best choice for the patient. (zimmerbiomet.eu)
Rotator cuff1
- The long head of the biceps (LHB) is commonly implicated in shoulder pathology due to its anatomic course and intimacy with the rotator cuff and superior labrum of the glenoid. (hofstra.edu)
Rupture8
- Your doctor will look for specific signs such as the 'Popeye Muscle' sign where the biceps muscle bunches up near the elbow which implies a complete rupture of the proximal tendon. (bostonjointpreservation.com)
- We present a case of a young man who had a sudden jerk of his flexed right elbow, while involved in water skiing sports and sustained complete rupture of proximal end of long head of biceps tendon. (openorthopaedicsjournal.com)
- Physical examination may show the classic "Popeye" muscle bulge of the humerus midshaft with a complete biceps tendon rupture. (medscape.com)
- Depending on the individual case scenario, the type of facility, and physician preference, patients who have suffered a rupture of the biceps tendon can benefit from physical and/or occupational therapy. (medscape.com)
- Overall consequences of biceps rupture may differ among various demographic groups. (medscape.com)
- The major impairment resulting from proximal biceps rupture involves limitations due to pain during the acute phase, but impairment ultimately relates to a decrease in strength during shoulder flexion, elbow flexion, and forearm supination. (medscape.com)
- First off is a biceps rupture or biceps tendinosis. (orthopedicsportsdoctor.com)
- You can actually do what's called a biceps tenodesis where you actually release the biceps up top and you bury it into tuberosity here or into the shoulder with a screw to hold that tension on the biceps so it doesn't rupture and give you that Popeye deformity. (orthopedicsportsdoctor.com)
Suprapectoral3
- We believe that the suprapectoral LHB tenodesis described in this article enables the restoration of the anatomic length-tension relation in a technically reproducible manner, when following the guidelines set forth in this article, and restores biceps contour and function adequately with a low risk of complications. (openorthopaedicsjournal.com)
- The TensionTightâ„¢ button is used to perform a knotless onlay biceps tenodesis, using either an arthroscopic suprapectoral or open subpectoral approach. (arthrex.com)
- Securing the biceps tendon repair with a Loop 'N' Tackâ„¢ stitch enables an all-arthroscopic suprapectoral onlay tenodesis. (arthrex.com)
Distal biceps tendon1
- Distal biceps tendon tears occur at the radial tuberosity and are commonly linked to an excessive eccentric overload. (medscape.com)
Outcomes1
- Explain which overhead athlete subsets have worse outcomes following biceps tenodesis. (sportsmed.org)
Procedure1
- During a biceps tenodesis procedure, the surgeon cuts the attachment of the biceps tendon from the labrum and reattaches it to the humerus bone by tacks. (wikipedia.org)
Patients who underwent2
- We hypothesized that the rate of LHB tenodesis would increase significantly over time and that there would be no significant change in the age of patients who underwent LHB tenodesis. (sportssurgerychicago.com)
- Of the 7640 patients who underwent arthroscopic shoulder procedures between 2004 and 2014, 2125 had LHB tenodesis. (sportssurgerychicago.com)
Pathology3
- Superior labral anterior-posterior (SLAP) repairs are often unsatisfactory for treating biceps-labral pathology in this demographic group, with high failure rates and poor return to sport (RTS). (qxmd.com)
- Number four is biceps pathology The biceps actually is a long, thin tendon that comes up, actually you've got the biceps muscle here, but you've got the biceps tendon that's about the size of a fettuccine noodle that goes all the way up the anterior [front] aspect of the shoulder and dives deep into the joint. (orthopedicsportsdoctor.com)
- Primary LHB tendinitis represents about 5% of cases of proximal biceps pathology. (physio-pedia.com)
Arthroscopic Tenodesis1
- Arthroscopic Tenodesis of the Long Head of the Biceps" by M. E. Birns, J. J. Mbabuike et al. (hofstra.edu)
Tear2
- Of 16 shoulders in 14 gymnasts undergoing biceps tenodesis for SLAP tear during the study period, a follow-up was obtained for 13 of 16 shoulders (81%) at 4.3 ± 1.5 years. (qxmd.com)
- The next injury that we see a lot regarding the biceps is something called a superior labrum anterior to posterior tear. (orthopedicsportsdoctor.com)
Supination2
- All-arthroscopic biceps tenodesis maintains elbow flexion and supination power, minimizes cosmetic deformities, and leads to less fatigue soreness after active flexion. (hofstra.edu)
- Main function of the biceps muscle is forearm supination and elbow flexion. (physio-pedia.com)
Repair2
- In this video, Dr. Bennett describes various common biceps injuries and some options for treatment and repair. (orthopedicsportsdoctor.com)
- The Zimmer Biomet portfolio provides a variety of options for mini-open or arthroscopic biceps repair procedures. (zimmerbiomet.eu)
Screw1
- A specially designed, retracting screwdriverwith extended tip tensions the graft near the base of the socket while a uniqueouter sleeve delivers the Tenodesis Screw as the extended driver retracts. (arthrex.com)
Tendonitis1
- Biceps tendonitis is a well recognized source of anterior shoulder pain that may be associated with subscapularis tears and subacromial impingement. (orthobullets.com)
Brachii1
- A method for reinsertion of the distal biceps brachii tendon. (wheelessonline.com)
Technique3
- The all-arthroscopic biceps tenodesis technique is a viable and reproducible option for treatment. (hofstra.edu)
- There are several options for long head of biceps (LHB) tenodesis with advantage and disadvantages of each technique. (openorthopaedicsjournal.com)
- He regained full muscle power in the biceps without any possible complications, such as humeral fracture, infection, or nerve injury, associated with this technique. (openorthopaedicsjournal.com)
Long head6
- Biceps Tenodesis is usually recommended in people with pain at their anterior shoulder, related to the long head of the biceps. (shoulderwisconsin.com)
- The long head of the biceps tendon is attached at the top of the shoulder joint. (georgiahandtoshoulder.com)
- The long head of the biceps (LHB) tendon is a potential generator of pain within the shoulder. (sportssurgerychicago.com)
- The long head of the biceps passes through the shoulder joint and attaches to the labrum. (wikipedia.org)
- Today we're talking about the long head of the biceps which is up top. (orthopedicsportsdoctor.com)
- Proximal biceps tendinopathy is the inflammation of the tendon around the long head of the biceps muscle. (physio-pedia.com)
Anchor1
- With the repetitive rotation in the tarsal forces across the biceps at this anchor, what happens is that stress continues to occur rocking this biceps side to side that it actually loosens and it tears right at its insertion site. (orthopedicsportsdoctor.com)
Pathologies1
- Gymnasts undergoing biceps tenodesis for SLAP pathologies would have satisfactory PROs and satisfactory RTS. (qxmd.com)
20161
- He reset the clock on his rehab from shoulder surgery (Nov. 2015) when he had biceps tenodesis in August of 2016. (beyondtheboxscore.com)
Treatment2
- Tenodesis of the LHB is a treatment option for several pathologic shoulder conditions. (sportssurgerychicago.com)
- Thus, arthroscopic biceps tenodesis should be offered and encouraged as a treatment option for younger, active patients. (hofstra.edu)
Tendinitis1
- Proximal biceps tendinitis is the irritation and inflammation of the biceps tendon at the shoulder joint. (georgiahandtoshoulder.com)
Procedures1
- Over time, mean number of LHB tenodesis cases increased significantly (P = .0024), mean age of patients who had these procedures did not change significantly (P = .934), and percentage of LHB tenodesis cases increased significantly relative to percentage of all arthroscopic shoulder procedures (P = .0099). (sportssurgerychicago.com)
Distally1
- You get a larger biceps down distally. (orthopedicsportsdoctor.com)
Labral1
- The biceps superior labral complex is a known source of shoulder dysfunction in young, high-level athletes. (qxmd.com)
Shoulder and elbow1
- The biceps muscle is the muscle of the upper arm which is necessary for the movement of the shoulder and elbow. (georgiahandtoshoulder.com)
Retracts1
- It retracts, and then this biceps becomes a little bit more full because you're removing the tension of the biceps. (orthopedicsportsdoctor.com)
