An arthroscopic technique for full-thickness rotator cuff repair by transposition of the long head of biceps - 13/02/19

Doi : 10.1016/j.otsr.2018.07.027

Jian Lin ^a,^b, Weihui Qi ^a,^b, Zhongtang Liu ^c, Kai Chen ^a,^b, Xiaobin Li ^a,^b, Yingzhao Yan ^a,^b, Xinxian Xu ^a,^b, Xinghe Xue ^a,^b, Yang Yang ^a,^b, Xiaoyun Pan ^a,^b,^⁎
^a Department of Orthopaedic Surgery, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
^b Zhejiang Provincial Key Laboratory of Orthopaedics, Wenzhou 325000, Zhejiang Province, China
^c The Osteopathy Department, Changhai Hospital, Second Military Medical University, Shanghai, China

^⁎Corresponding author. Department of Orthopaedic surgery, the Second Affiliated Hospital of Wenzhou Medical University, 109 Xueyuan Xi Road, Wenzhou, 325000, China.China

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Abstract

Arthroscopic rotator cuff (RC) repair is now considered as an effective treatment for patients with symptomatic rotator cuff tears. We reported a new method for repairing a full-thickness RC tear by using the double-row technique with transposition of the long head of biceps (LHB). The novelty of this technique is using the long head of the biceps as an augmentation. The indication of this technique consists of two aspects including LHB lesions and RC tears. Three patients were enrolled. An ideal reconstruction of the anatomic footprint of the tendon and stabilization of glenohumeral joint was achieved after the double-row technique with the transposition of the long head of biceps. At 6-month postoperation, the mean VAS score was 1.23±0.15 and the mean Constant score was 88.00±9.17. Transposition of the long head of biceps is a choice for full-thickness RC tear.