Biceps Tenodesis:
Relieving Pain and Restoring Shoulder Function
Biceps tenodesis is a surgical procedure aimed at relieving pain and restoring function in cases of biceps tendonitis, instability, or other related conditions. This procedure involves reattaching the biceps tendon to a different location on the bone, typically the humerus (upper arm bone), to alleviate symptoms and improve shoulder mechanics. Here’s an in-depth overview:
Understanding Biceps Tenodesis:
The biceps tendon can be a source of pain and dysfunction due to:
- Tendonitis: Inflammation or irritation of the biceps tendon, often causing pain with shoulder movement.
- Instability: Subluxation (partial dislocation) or dislocation of the biceps tendon from its normal position in the shoulder joint.
- Degenerative Changes: Wear and tear on the biceps tendon, leading to chronic pain, weakness, or loss of function.
Indications for Biceps Tenodesis:
Biceps tenodesis may be recommended for:
- Persistent Biceps Tendonitis: Inflammation or degeneration of the biceps tendon that does not respond to conservative treatments such as rest, physical therapy, or corticosteroid injections.
- Biceps Tendon Instability: Recurrent subluxation or dislocation of the biceps tendon, causing shoulder pain and instability.
- Rotator Cuff Repair: Often performed in conjunction with rotator cuff repair surgeries to address concurrent biceps tendon issues.
Types of Biceps Tenodesis Techniques:
- Arthroscopic Biceps Tenodesis: Minimally invasive approach using small incisions and a camera (arthroscope) to guide surgical instruments for reattaching the biceps tendon to the humerus.
- Open Biceps Tenodesis: Traditional surgical approach involving a larger incision to directly access and secure the biceps tendon to the bone using sutures or anchors.
- Tendon Transfer: In cases of severe tendon degeneration or irreparable tears, transferring a nearby tendon to replace the function of the biceps tendon.
Dr. Prashant Meshram’s Approach to Biceps Tenodesis:
Dr. Prashant Meshram, an expert in shoulder and elbow surgery, adopts a specialized approach to ensure optimal outcomes and patient satisfaction:
- Pre-Surgical Evaluation: Comprehensive assessment including imaging studies (MRI, ultrasound) and clinical examination to evaluate the condition of the biceps tendon, associated shoulder injuries, and determine the appropriate surgical approach.
- Individualized Treatment Plan: Tailored surgical plan based on the specific pathology of the biceps tendon, patient’s symptoms, and functional goals.
- Advanced Surgical Techniques: Utilization of advanced arthroscopic or open surgical techniques to perform precise tendon reattachment, restore normal shoulder mechanics, and alleviate pain.
- Post-Operative Rehabilitation: Structured rehabilitation program focusing on early mobilization, strengthening exercises, and gradual return to activities under the supervision of a physical therapist.
Recovery and Rehabilitation:
- Hospital Stay: Biceps tenodesis is typically performed as outpatient surgery, allowing patients to return home the same day.
- Physical Therapy: Rehabilitation program aimed at promoting healing, restoring shoulder strength and range of motion, and optimizing functional recovery.
- Long-Term Follow-Up: Regular follow-up appointments to monitor healing progress, assess shoulder function, and address any post-operative concerns or complications.
Dr. Prashant Meshram’s Commitment:
With a commitment to surgical excellence and patient-centered care, Dr. Prashant Meshram strives to alleviate pain, restore shoulder function, and improve quality of life for individuals undergoing biceps tenodesis procedures.