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DVD-1090_004 | A | Biceps Tendon Evaluation

Stephen S. Burkhart

Human

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

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Biceps Tendon Evaluation

So the first thing we want to do is look in at the front of the joint at the subscapularis footprint, which you see very nicely there, and its relationship to the biceps. You see the medial sling of the biceps. There's no fraying or abrasion on the biceps at all, at least on the intra-articular portion or the part that's by the sling. We'll look at the labrum all around, which is a fairly lax individual overall. So the drive through is fairly easy. That's that normal flounce in the labrum posterior superior. We'll just look at the root of the biceps. So I'll do a peel back maneuver. So we'll bring up the arm into abduction external rotation. And you see that the root of the biceps changes angle. But it doesn't really drop over medially. So that's a negative peel back. She's obviously got some damage to the undersurface of the rotator cuff. And we'll have to clean that up and get some idea of how much bare footprint there really is there. Okay. So it's looking like the MRI might be A accurate in terms of being a pasta lesion. So I make all of my portals from outside in. So we want to come in over the lateral half of the sub GAP. Now see that's a little too far lateral into the bicep sling. So I'm going to come a little medial to that. So right about in there that thin spot is kind of perfect okay. So we'll make an outside in there I want to use an 8.25mm Twist-In cannula in the front. And even though there was a negative peel back, we want to palpate the root of the biceps and the base of the biceps, and be sure that that's stable to palpation. And just to be sure, there's not a displaceable biceps root because that would be pathologic. But that's all normal. And we'll drag some of this biceps into the joint. And you see it's got that typical kind of erythematous area that has been labeled lipstick synovitis. But really it's pretty normal. Just about everyone has that.

Biceps Tendon Evaluation

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