Ultrasound-Guided Percutaneous Long Head of the Biceps Tenotomy: a Novel Technique with Case Report

HSS Journal Volume 10, Number 3 October 2014

Harry G. Greditzer, IV, MD

UHealth Sports Performance and Wellness Institute, Department of Orthopaedics, Department of Radiology, University of Miami/Jackson Memorial Hospital

Lee D. Kaplan, MD

UHealth Sports Performance and Wellness Institute, Department of Orthopaedics, University of Miami/Jackson Memorial Hospital

Bryson P. Lesniak, MD

UHealth Sports Performance and Wellness Institute, Department of Orthopaedics, University of Miami/Jackson Memorial Hospital

Jean Jose, DO

UHealth Sports Performance and Wellness Institute, Department of Orthopaedics, University of Miami/Jackson Memorial Hospital

An Excerpt:

Lesions of the long head of the biceps (LHB) tendon linked with rotator cuff tears can be responsible for considerable shoulder pain and dysfunction [10]. The two most commonly performed procedures for biceps pathology by orthopedic surgeons today are arthroscopic biceps tenotomy and tenodesis. Although the optimal surgical procedure is controversial, there is considerable agreement that operative treatment provides significant pain relief, with no major functional impairment [4]. While ultrasound-guided percutaneous tenotomy of the LHB tendon has been reported in cadavers [7], to our knowledge, no one has successfully reported the procedure in a patient. In the ever-changing health care environment, a less invasive procedure that can be performed without the risks and costs of anesthesia and surgery could be of great benefit. This is particularly important for patients who are not ideal surgical candidates due to comorbid conditions (i.e., cardiac disease, pulmonary insuff ...).

Work performed at: UHealth Sports Performance and Wellness Institute; Department of Orthopaedics, University of Miami Miller School of Medicine, Miami, FL.

This article appears in HSS Journal: Volume 10, Issue 3.
View the full HSS Journal article at springerlink.com.

About the HSS Journal

HSS Journal, an academic peer-reviewed journal published three times a year, February, July and October. The Journal accepts and publishes peer reviewed articles from around the world that contribute to the advancement of the knowledge of musculoskeletal diseases and disorders.

 

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