The 360 Double Lasso Loop for Biceps Tenodesis: Tips and Tricks

Thibault Lafosse; Luc Kopel; Joris Beckers; Laurent Lafosse

doi:10.1016/j.eats.2021.04.012

The 360 Double Lasso Loop for Biceps Tenodesis: Tips and Tricks

Arthrosc Tech. 2021 Jul 13;10(8):e1889-e1895. doi: 10.1016/j.eats.2021.04.012. eCollection 2021 Aug.

Authors

Thibault Lafosse¹, Luc Kopel^{1

2}, Joris Beckers¹, Laurent Lafosse¹

Affiliations

¹ Hand, Upper Limb, Brachial Plexus, and Microsurgery Unit (PBMA), Clinique Générale d'Annecy, Annecy, France.
² Department of Orthopedics and Traumatology - Service of Hand, Upper Limb and Peripheral Nerve Surgery, Georges Pompidou European Hospital (HEGP), Assistance Publique Hôpitaux de Paris - Paris Descartes University, Paris, France.

Abstract

The management of the intra-articular portion of the long head of the biceps tendon (LHB) is a recurring topic in every discussion about shoulder pain. In massive rotator cuff tears or in tears of the superior third of the subscapularis tendon, our approach is to systematically perform a tenodesis of the LHB. In this Technical Note, we present our arthroscopic technique for LHB tenodesis at the articular margin of the humeral head using a single anchor and a 360 double lasso loop. This technique guaranties a strong and efficient fixation of the biceps tendon and is reproducible when following the steps and tips and tricks outlined herein.