Cortical Button Tenodesis Technique

Subpectoral biceps tenodesis using cortical buttons and the tension-slide technique allows for reliable tensioning and a bicortical or unicortical repair of the long head of the biceps.

Featuring a locking jaw, the TensionTight™ button is used for performing knotless onlay biceps tenodesis with an arthroscopic suprapectoral or open subpectoral approach. Securing the biceps tendon with a Loop 'N' Tack™ stitch enables an all-arthroscopic suprapectoral tenodesis.

With the bicortical technique, use the BicepsButton™ implant to draw the tendon against the distal cortex of the bone socket. A tenodesis screw can be added to further support the repair. The unicortical technique requires the 8.5 mm long proximal tenodesis button, which has angled edges to promote a toggle effect when the button contacts the far cortex. The tension-slide technique reliably draws the tendon onto the humerus.

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Subpectoral biceps tenodesis using cortical buttons and the tension-slide technique allows for reliable tensioning and a bicortical or unicortical repair of the long head of the biceps.

Featuring a locking jaw, the TensionTight™ button is used for performing knotless onlay biceps tenodesis with an arthroscopic suprapectoral or open subpectoral approach. Securing the biceps tendon with a Loop 'N' Tack™ stitch enables an all-arthroscopic suprapectoral tenodesis.

With the bicortical technique, use the BicepsButton™ implant to draw the tendon against the distal cortex of the bone socket. A tenodesis screw can be added to further support the repair. The unicortical technique requires the 8.5 mm long proximal tenodesis button, which has angled edges to promote a toggle effect when the button contacts the far cortex. The tension-slide technique reliably draws the tendon onto the humerus.

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Educational Resources and Products

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Surgical Technique Videos (8)

Anterior Distal Biceps Onlay Repair With Cortical Buttons
Anterior Distal Biceps Onlay Repair With Cortical Buttons
Joshua S. Dines, MD
04:15 | English | 01/02/2020 | VID1-000699-en-US A
Subpec Tenodesis With ArthroFLEX® Acellular Dermal Matrix
Subpec Tenodesis With ArthroFLEX® Acellular Dermal Matrix
Preston Wolin, MD
04:22 | English | 01/09/2017 | VPT1-00651-EN B
Bicortical Proximal Subpectoral Tenodesis
Bicortical Proximal Subpectoral Tenodesis
Paul Sethi, MD | Seth Miller, MD
04:14 | English | 12/31/2013 | VID1-00014-EN A
Unicortical Proximal Subpec Tenodesis
Unicortical Proximal Subpec Tenodesis
Reuben Gobezie, MD
13:34 | English | 09/02/2013 | VID1-003517-en-US A
Unicortical Proximal Subpec Tenodesis
Unicortical Proximal Subpec Tenodesis
Reuben Gobezie, MD
13:34 | English | 09/02/2013 | VID1-003527-en-US A
Subpectoral Biceps Tenodesis on the Proximal Aspect of the Biceps
Subpectoral Biceps Tenodesis on the Proximal Aspect of the Biceps
Thomas Hackett, MD
03:34 | English | 05/20/2013 | VID1-0591-EN A
Biceps Evaluation & Capsular Release
Biceps Evaluation & Capsular Release
Stephen S. Burkhart, MD
04:27 | English | 08/02/2007 | DVD-1090_003 A
Biceps Tendon Evaluation
Biceps Tendon Evaluation
Stephen S. Burkhart, MD
02:04 | English | 08/02/2007 | DVD-1090_004 A

Surgical Technique Animations (2)

Subpectoral Biceps Tenodesis Using the TensionTight™ Button
Subpectoral Biceps Tenodesis Using the TensionTight™ Button
01:27 | English | 03/10/2022 | AN1-000346-en-US A
Subpectoral Biceps Tenodesis Using Cortical Buttons
Subpectoral Biceps Tenodesis Using Cortical Buttons
01:19 | English | 08/29/2014 | AN1-00087-EN A

Surgical Technique Guides (4)


Catalogs (1)


Patient Education Animations (1)

Biceps Tenodesis with BicepsButton™ Kit
Biceps Tenodesis with BicepsButton™ Kit
01:58 | English | 07/24/2017 | PAN1-00087-EN D

Presentation Videos (4)

Biceps Tenodesis: Low is Better
Biceps Tenodesis: Low is Better
Brian J. Cole, MD, MBA
12:42 | English | 02/23/2016 | VPT1-00594-EN A
Biceps Tenodesis: Distal Techniques
Biceps Tenodesis: Distal Techniques
Matthew T. Provencher, MD
17:49 | English | 08/27/2015 | VPT1-00542-EN A
Proximal Biceps Tenodesis
Proximal Biceps Tenodesis
Paul Sethi, MD
13:02 | English | 08/04/2014 | VPT1-00257-EN A
Proximal Biceps Tenodesis
Proximal Biceps Tenodesis
Paul Sethi, MD
11:06 | English | 02/27/2012 | VID1-003548-en-US A

White Papers (1)

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