Journal: Arthroscopy Techniques
Article Title: Autologous Long Head of Biceps Tendon With High-Strength Suture for Reconstruction of Coracoclavicular Ligament
doi: 10.1016/j.eats.2025.103465
Figure Lengend Snippet: Shuttle loop preparation and graft passage for reduction. (A) Subacromial interval arthroscopic view of left shoulder with 30° arthroscope in lateral portal. A nitinol wire shuttle loop with a passing hook (Arthrex) is cautiously placed close to the medial cortex of the coracoid base to avoid nerve injury. (B) Outside view of left shoulder with patient in beach-chair position. A FiberTape (white arrow) along with the long head of the biceps tendon (LHBT) graft (black arrow), in a venae comitantes fashion, is dragged into the subacromial space. The green arrows indicate the shuttle loop, and the yellow arrows indicate the epidural needles. (C) Subacromial interval arthroscopic view of left shoulder with 30° arthroscope in lateral portal. Passage of FiberTape with 1 tail suture (“string”) of LHBT under base of coracoid. (D) Subacromial interval arthroscopic view of left shoulder with 30° arthroscope in lateral portal. Passage of FiberTape along with LHBT around base of coracoid using shuttle loop. (E) Subacromial interval arthroscopic view of left shoulder with 30° arthroscope in lateral portal. The grafts loop around the coracoid base. (F) Subacromial interval arthroscopic view of left shoulder with 30° arthroscope in lateral portal. The 2 ends of the grafts are crossed and form an X shape within the coracoclavicular interval. The stars indicate the coracoid base.
Article Snippet: Under arthroscopic visualization, a nitinol wire shuttle loop is passed around the base of the coracoid from medial to lateral with a passing hook (AR-7806; Arthrex), which is cautiously placed close to the medial cortex of the coracoid base to avoid nerve injury ( A).
Techniques:
