Specialists

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The Bio-Tenodesis Screw System

We perform all arthroscopic shoulder procedures in the lateral decubitis position under general anesthesia. Five to 10 pounds of balanced suspension are used with the arm in 20 degrees to 30 degrees of abduction and 20 degrees of forward flexion (Star Sleeve Traction System, Arthrex, Inc., Naples, FL). Diagnostic glenohumeral arthroscopy is performed through a […]

Clinical Evaluation-Physical Findings

Distinguishing anterior shoulder pain caused by biceps tendon disorders as opposed to subacromial impingement can be difficult, as these two entities usually co-exist. Although there are some exam maneuvers, which attempt to isolate the biceps tendon, there is still a fair amount of overlap and the definitive diagnosis of isolated biceps tendon pathology is extremely […]

Biceps Instability

Biceps instability takes the form of either frank dislocation or more subtle subluxation. As noted previously, the primary restraining structures holding the LHB in the bicipital groove are the medial sling and subscapularis tendon. Habermayer and Walch divided LHB dislocations into extra-articular or intra-articular. The much less common extra-articular dislocations dislodge from the bicipital groove […]

Basic Science-Anatomy

The anatomy of the LHB has been thoroughly examined and little controversy exists in this realm. The LHB originates at and around the supraglenoid tubercle. Although it is intra-articular, it is extrasynovial. Its blood supply is dependant on the portion of tendon in question.

The proximal and middle portions receive blood supply from branches of […]