1.The relevant anatomy of the biceps tendon when performing tenodesis in Filipino cadaveric specimens.
Martin Louie Bangcoy ; Charles Abraham Villamin ; Chino Ervin Tayag ; Patrick Henry Lorenzo
Philippine Journal of Allied Health Sciences 2021;4(2):13-21
BACKGROUND:
Biceps tenodesis is a technique frequently performed in shoulder surgeries. Various techniques have been described, but there is no
consensus on which technique restores the length-tension relationship. Restoration of the physiologic length-tension relationship has been
correlated to better functional outcomes, such as decreased incidence of residual pain or weakness of the biceps. The objective of this study was to
measure the anatomic relationship of the origin of the biceps tendon with its zones in the upper extremity. This would provide an anatomic guide
or an acceptable placement of the tenodesis to reestablish good biceps tension during surgery
METHODS:
The study used nine adult cadavers (five
males, four females) from the [withheld for blinded review]. Nine shoulder specimens were dissected and markers were placed at five points along
each biceps tendon: (1) Labral origin (LO) (2) Superior bicipital groove (SBG) (3) Superior border of the pectoralis tendon (SBPMT) (4)
Musculotendinous junction (MTJ) and (5) Inferior border of the pectoralis tendon (IBPMT). Using the origin of the tendon as the initial point of
reference, measurements were made to the four subsequent sites. The humeral length was recorded by measuring the distance between the greater
tuberosity and the lateral epicondyle as well as the tendon diameter at the articular surface.
RESULTS:
The intraclass correlation coefficient was
excellent across all measures. A total of nine cadavers were included. Mean age of patients was 66.33 years old, ranging from 52-82 years old. These
were composed of five male and four female cadavers. The mean tendon length was 24.83mm ± 4.32 from the origin to the superior border of the
bicipital groove, 73.50mm ± 6.96 to the Superior Border Pectoralis Major Tendon, 100.89mm ± 6.88 to the Musculotendinous Junction, and
111.11mm ± 7.45 to the Inferior Border Pectoralis Major Tendon. The mean tendon diameter at the articular origin was 6.44mm ± 1.76.
CONCLUSION
This study provided measurement guidelines that could restore the natural length-tension relationship during biceps tenodesis using the
interference screw technique in Filipinos. A simple method of restoring a normal length-tension relationship is by doing tenodesis close to the
articular origin and creating a bone socket of approximately 25mm in depth, using the superior border of the bicipital groove as a landmark.
Tenotomy
;
Tenodesis
2.Arthroscopic Stabilization Using Remplissage Technique in Recurrent Shoulder Instability with Large Hill-Sachs Lesion.
Sang Hun KO ; Sung Do CHO ; Hyung Min JEON ; Han Chang PARK
The Korean Journal of Sports Medicine 2010;28(1):64-67
The glenohumeral bone deficiency plays an important role in the failure of arthroscopic shoulder stabilization procedures. Recently, several authors have described more novel approaches to treat the engaging Hill-Sachs lesion. Presented the 'Remplissage' technique that consists of an arthroscopic posterior capsulodesis and infraspinatus tenodesis to fill the Hill-Sachs lesion in addition to an arthroscopic Bankart repair. We report an arthroscopic technique in recurrent shoulder instability with large Hill-Sachs lesion with posterior capsulodesis and infraspinatus tenodesis.
Arthroscopy
;
Shoulder
;
Tenodesis
3.The Fate of Fracture Fragment in Diabetic Calcaneal Insufficiency Avulsion Fracture.
Jeong Hyun PARK ; Kwang Rak PARK ; Gun Hyun PARK ; Jaeho CHO
Korean Journal of Physical Anthropology 2018;31(2):65-70
Diabetic calcaneal insufficiency avulsion (CIA) fracture are unusual injury. The treatment may be challenging due to the low healing potential from diabetes or Charcot neuroarthropathy, so far. The poor surgical outcomes and surgical failures from treatment of the traumatic calcaneal avulsion fractures were associated with poor bone stock, lack of proper fixation, and the wound problem. Thus, the proper treatment for diabetic CIA fracture was still controversy. This report described two cases of diabetic CIA fracture treated with fixation of fracture fragment and calcaneal tenodesis. In both cases, fracture fragments were re-avulsed despite of fixation. Through investigation for the fate of fracture fragment from these cases, we discussed the proper treatment strategy in diabetic CIA fracture.
Tenodesis
;
Wounds and Injuries
4.Lunate Dislocation (A Review of Six Cases)
Ho Guen CHANG ; Byoung Moon AHN ; Yung Sik YANG ; Won Ho CHO ; Chang Ju LEE
The Journal of the Korean Orthopaedic Association 1983;18(2):389-394
Six cases of lunate dislocation were treated in the departments of orthopaedic surgery, Hangang Sacred Heart Hospital and Kangnam Sacred Heart Hospital, Hallym College during the period from March 1, 1978 to August 31, 1982. The results were as follows; l. Among the total 6 cases, two cases had lunate dislocation only and the other four had associated injuries of the same wrist joints. 2. Marupulative reduction was successful in only one case. Five cases were treated by open reduction, and for four of them internal fixation was tried. 3. Postoperative roentgenograms showed acceptable reductions in all cases except one which redislocation occurred. This case showed lunate dorsiflexion instability and was treated with extensor carpi radialis longus tenodesis. 4. The cases with pure lunate dislocation yielded better functional recovery than those with associated carpal injuries.
Dislocations
;
Heart
;
Tenodesis
;
Wrist Joint
5.Surgical Treatment of Chronic Ankle Lateral Instability: Reconstruction with Tenodesis or Tendon Graft.
The Journal of the Korean Orthopaedic Association 2014;49(1):22-28
Numerous reconstructive procedures have been described for treatment of chronic lateral ankle instability; however, controversy remains regarding the ideal surgical option. Numerous studies of the Brostrom procedure or its modifications have followed, reporting good to excellent results. However they have some limitations regarding the instabilities for over-weight, physically high demanding patients, failed anatomical repair, and particularly for significantly deficient or attenuated ligaments. This may indicate the need for non-anatomical reconstruction using peroneus brevis tendon or anatomical reconstruction using the allo/autograft tendon.
Ankle*
;
Humans
;
Ligaments
;
Tendons*
;
Tenodesis*
;
Transplants*
6.A Comparison between Arthroscopic Biceps Tenodesis and Arthroscopic Repair in Isolated Type 2 Superior Labrum Anterior and Posterior Lesions.
Kyung Jin HONG ; Doo Sup KIM ; Ji Su SHIN ; Sang Kyu KANG
Clinics in Shoulder and Elbow 2017;20(1):24-29
BACKGROUND: The purpose of this study was to compare the clinical outcome in patients aged less than 55 years who underwent arthroscopic tenodesis and arthroscopic repair for type 2 superior labrum anterior and posterior (SLAP) lesions. METHODS: Between April 2008 and December 2014, surgery was performed on a total of 45 patients with isolated type 2 SLAP lesions. Arthroscopic repair was performed in 22 patients and arthroscopic tenodesis was performed in 23 patients. In both groups, the clinical outcomes at follow-ups were evaluated using the University of California at Los Angeles (UCLA) score, American Shoulder and Elbow Surgeons (ASES) score, and visual analogue scale (VAS) score. RESULTS: In both groups, the VAS scores for pain had improved significantly throughout the postoperative follow-up period. The VAS score showed a statistically significant difference at postoperative 3 and 6 months (p<0.05); however, there was no statistically significant difference between preoperative and postoperative results at 12 months (p>0.05). In both groups, the functional outcome was statistically improved postoperatively. In a comparison of the UCLA and ASES scores between the two groups, there was a statistically significant difference at postoperative 3 and 6 months (p<0.05), but there was no statistically significant difference between preoperative and postoperative results at 12 months (p>0.05). CONCLUSIONS: Based on the results of this and other studies, patients with isolated type 2 SLAP lesions showed better short-term clinical outcome with tenodesis than with repair. However, there was no difference between the two groups at the final follow-up.
California
;
Elbow
;
Follow-Up Studies
;
Humans
;
Shoulder
;
Surgeons
;
Tenodesis*
7.Management of Concomitant Posterolateral Rotatory Instability and Anterior Cruciate Ligament Injuries of the Knee.
Young Bok JUNG ; Ho Joong JUNG ; Yong Seuk LEE ; Sang Hak LEE ; Young Uk PARK
The Journal of the Korean Orthopaedic Association 2005;40(5):560-565
PURPOSE: Many failures of anterior cruciate ligament (ACL) reconstruction are due to a failure to treat concomitant posterolateral rotatory instability (PLRI). We report the results of reconstruction in cases of combined PLRI and ACL injury. MATERIALS AND METHODS: From January 1998 to December 2002, 24 patients were followed-up for a mean of 25 months (range, 12 to 58), postoperatively. PLRI was treated using a biceps tenodesis or posterolateral corner sling (PLCS), through a proximal tibial or fibular head obliquely anteroinferiorly to posterosuperiorly. ACLs were reconstructed using autogenous hamstring 4 bundles with RIGIDfix(TM) on the femoral side and Intrafix(TM) with additional staple fixation on the tibial side. Clinical results were evaluated using the Orthopadishe Arbeitsgruppe Knie (OAK) and International Knee Documentation Committee (IKDC) knee scoring system. Stability was measured on pull varus stress radiographs using a Telos stress device and by using the manual maximum displacement test using a KT-1000(TM) arthrometer with 30 degrees of knee flexion. RESULTS: The mean side-to-side difference in anterior displacement measured on the pull stress radiographs was reduced from a preoperative 7.9+/-3.4 to 2.1+/-0.8 mm at the last follow-up, from 2.1+/-0.8 to 0.4+/-0.7mm on varus stress radiographs, and from 6.5+/-1.3 mm to 2.3+/-1.3 mm as measured using the KT-1000 arthrometer. The average OAK score improved from 64.1+/-11.9 to 84.4+/-9.2 points over the same period. At the final evaluation, 22 of the 24 patients (92%) had a satisfactory result according to the IKDC system. CONCLUSION: Based on our experience, we recommend arthroscopically assisted ACL reconstruction and the correction of concomitant PLRI in cases of combined ACL and posterolateral rotatory instability.
Anterior Cruciate Ligament*
;
Follow-Up Studies
;
Head
;
Humans
;
Knee*
;
Tenodesis
8.Surgical Treatment of Peroneus Longus Tendon Rupture after Ostectomy of Peroneus Tubercle of Calcaneus: A Case Report.
Jin Young LEE ; Gab Lae KIM ; Min JUNG ; Eui Soo LEE ; Jae Woo KWON ; Dong Yeon SEO
Journal of Korean Foot and Ankle Society 2014;18(2):72-75
We experienced a patient in whom rupture of the peroneus longus tendon occurred after ostectomy of the peroneus tubercle of the calcaneus. Acute rupture of the peroneus tendon can be managed by end-to-end anastomosis, while neglected cases can be treated by tenodesis, tendon transfer, or tendon graft. In the current patient, the tendon ends were mildly retracted, yielding a small gap. We successfully repaired the retracted tendon ends after lengthening by Z-plasty.
Calcaneus*
;
Humans
;
Rupture*
;
Tendon Transfer
;
Tendons*
;
Tenodesis
;
Tenotomy
;
Transplants
9.Arthroscopic Stabilization Using Remplissage Technique In Recurrent Shoulder Instability with Large Hill-Sachs Lesion: Minimum Six Months Follow-Up Results.
Sang Hun KO ; Kwang Hwan JUNG ; Hyung Min JEON ; Han Chang PARK
Journal of the Korean Shoulder and Elbow Society 2010;13(1):47-52
PURPOSE: To evaluate shoulder stability, clinical, and functional results more than 6 months after utilizing the 'Remplissage' technique, consisting of an arthroscopic posterior capsulodesis and infraspinatus tenodesis, to fill Hill-Sachs lesions. MATERIALS AND METHODS: Seven patients were followed-up more than 6 months after the 'Remplissage' procedures performed in our hospital from August 2008 to August 2009. The mean age of the patients was 28.6 years and the mean follow-up time was 10 months. Evaluations included ROM, ASES score, KSSI score, ROWE score, and postoperative MRI. RESULTS: In a functional evaluation of the patients with an average postoperative time of 10 months, the ASES score improved from 51.4 preoperatively to 76.8 postoperatively, the KSSI score improved from 46.5 preoperatively to 76 postoperatively, and the ROWE score improved from 43.5 preoperatively to 76.3 postoperatively. After an average postoperative time of 10 months, the range of motion was nearly normal (>170 degrees in further flexion, and >45 degrees in external rotation). CONCLUSION: In recurrent shoulder instabilities with large Hill-Sachs lesions, the 'Remplissage' technique resulted in good outcomes in terms of shoulder stability, clinical, and functional results after postoperative times of more than 6 months.
Follow-Up Studies
;
Humans
;
Range of Motion, Articular
;
Shoulder
;
Tenodesis
10.A Comparison between Arthroscopic Biceps Tenodesis and Arthroscopic Repair in Isolated Type 2 Superior Labrum Anterior and Posterior Lesions
Kyung Jin HONG ; Doo Sup KIM ; Ji Su SHIN ; Sang Kyu KANG
Journal of the Korean Shoulder and Elbow Society 2017;20(1):24-29
BACKGROUND: The purpose of this study was to compare the clinical outcome in patients aged less than 55 years who underwent arthroscopic tenodesis and arthroscopic repair for type 2 superior labrum anterior and posterior (SLAP) lesions. METHODS: Between April 2008 and December 2014, surgery was performed on a total of 45 patients with isolated type 2 SLAP lesions. Arthroscopic repair was performed in 22 patients and arthroscopic tenodesis was performed in 23 patients. In both groups, the clinical outcomes at follow-ups were evaluated using the University of California at Los Angeles (UCLA) score, American Shoulder and Elbow Surgeons (ASES) score, and visual analogue scale (VAS) score. RESULTS: In both groups, the VAS scores for pain had improved significantly throughout the postoperative follow-up period. The VAS score showed a statistically significant difference at postoperative 3 and 6 months (p<0.05); however, there was no statistically significant difference between preoperative and postoperative results at 12 months (p>0.05). In both groups, the functional outcome was statistically improved postoperatively. In a comparison of the UCLA and ASES scores between the two groups, there was a statistically significant difference at postoperative 3 and 6 months (p<0.05), but there was no statistically significant difference between preoperative and postoperative results at 12 months (p>0.05). CONCLUSIONS: Based on the results of this and other studies, patients with isolated type 2 SLAP lesions showed better short-term clinical outcome with tenodesis than with repair. However, there was no difference between the two groups at the final follow-up.
California
;
Elbow
;
Follow-Up Studies
;
Humans
;
Shoulder
;
Surgeons
;
Tenodesis