The X-Pulley Technique for Subpectoral Long Head of the Biceps Tenodesis Using All-Suture Anchors

Paolo Consigliere; Shadi Salamat; Nardeen Kader; Mohamed Imam; Abhilash Gowda; A Ali Narvani

doi:10.1016/j.eats.2018.10.012

The X-Pulley Technique for Subpectoral Long Head of the Biceps Tenodesis Using All-Suture Anchors

Arthrosc Tech. 2019 Jan 28;8(2):e189-e197. doi: 10.1016/j.eats.2018.10.012. eCollection 2019 Feb.

Authors

Paolo Consigliere¹, Shadi Salamat¹, Nardeen Kader¹, Mohamed Imam¹, Abhilash Gowda¹, A Ali Narvani^{1

2}

Affiliations

¹ Rowley Bristow Orthopaedic Unit, Ashford & St Peter's Hospitals National Health Service Foundation Trust, Chertsey, England.
² Fortius Clinic, London, England.

Abstract

Subpectoral long head of the biceps tenodesis is gaining popularity as a technique for treating patients with various pathologies of the tendon or its anchor to the superior labrum. It has the added advantage of addressing bicipital groove pathologies. Various techniques for performing it have been described, but none is without problems. We present a modification of the previously described techniques that involves 2 all-suture anchors and offers the added advantage of a reduced risk of fracture without sacrificing the biomechanical strength of the construct. We also believe that it may potentiate healing by providing an adequate surface contact area between the tendon and bone with a minimal risk of damage to the tendon and neurovascular structures.