Modified arthroscopic transfer of the long head of the biceps tendon to the conjoint tendon

• Published in: Chinese medical journal 2009-03, Vol.122 (6), p.745-747
• Main Authors: Ma, Yong, Cui, Guo-Qing, Ao, Ying-Fang, Xiao, Jian, Yan, Hui, Yang, Yu-Ping, Xie, Xing
• Format: Article
• Language: English
• Subjects: Adult; Arthroscopy - methods; Female; Humans; Male; Middle Aged; Muscle, Skeletal - surgery; Shoulder Pain - etiology; Shoulder Pain - surgery; Tendons - surgery; Treatment Outcome; 关节镜; 联合腱; 长头二头肌肌腱
• ISSN: 0366-6999; 2542-5641
• DOI: 10.3760/cma.j.issn.0366-6999.2009.06.029

The long head of the biceps tendon （LHBT） pathology has been implicated as a common source of shoulder pain. The patients may be more resistant to conservative treatment than those with isolated subacromial impingement. Even though, the surgical options of this disease remain controversial. It has been reported that tenotomy and tenodesis of the biceps tendon were usually utilized. However, persistent pain, deformity, and muscle cramping were frequently observed. Transfer of the LHBT to the conjoint tendon was originally described by Post and Benca in 1982.4 Verma et all has performed the transfer under arthroscopy since 2004. Eighty percent of their patients reported good results with a minimum 2 years of follow-up. However, there was a steep learning curve to become proficient in their technique. We devised a more convenient transfer compared with O＇Brien＇s technique. Six patients received our modified arthroscopic transfers from May 2006 to May 2007. All of them obtained good results.