Journal: Arthroscopy Techniques

Article Title: Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii

doi: 10.1016/j.eats.2020.08.039

Figure Lengend Snippet: Arthroscopic view of the right shoulder through the lateral suprapectoral portal using a 30° arthroscope with the patient in the beach-chair position. Through the medial suprapectoral portal, the Forked Tip BioComposite SwiveLock Tenodesis screw is used to capture and set the biceps tendon into the socket.

Article Snippet: A 7.0 × 19.5–mm Forked Tip BioComposite SwiveLock Tenodesis screw (Arthrex) is used to fix the tendon into the socket ( and ).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii

doi: 10.1016/j.eats.2020.08.039

Figure Lengend Snippet: Arthroscopic view of the right shoulder through the lateral suprapectoral portal using a 30° arthroscope with the patient in the beach-chair position. Through the medial suprapectoral portal, the 7.0-mm Forked Tip BioComposite Tenodesis screw can be seen securing the biceps tendon into the socket.

Article Snippet: A 7.0 × 19.5–mm Forked Tip BioComposite SwiveLock Tenodesis screw (Arthrex) is used to fix the tendon into the socket ( and ).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Ultrasound-Guided Suprapectoral Tenodesis of the Long Head of the Biceps Brachii

doi: 10.1016/j.eats.2020.08.039

Figure Lengend Snippet: Arthroscopic view of the right shoulder through the lateral suprapectoral portal using a 30° arthroscope with the patient in the beach-chair position. The 7.0-mm Forked Tip BioComposite Tenodesis screw can be seen secured in place and flush with the humerus. The stay suture is removed from the proximal tendon. The residual tendon superior to the screw may be left in place or resected as desired. This completes the ultrasound-guided suprapectoral biceps tenodesis procedure.

Article Snippet: A 7.0 × 19.5–mm Forked Tip BioComposite SwiveLock Tenodesis screw (Arthrex) is used to fix the tendon into the socket ( and ).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tape Augmentation for Anterior Talofibular Ligament Repair

doi: 10.1016/j.eats.2020.02.017

Figure Lengend Snippet: Implants and instruments used for described technique (all implants are from Arthrex): drill guide and 2.4-mm drill for SutureTak preparation (1 and 2); BioComposite-SutureTak, 3 mm × 14 mm, loaded with FiberWire (3); drill guide and 2.7-mm drill for fibular SwiveLock preparation (4 and 5); cannulated drill guide and 3.4-mm cannulated drill for talar SwiveLock preparation (6 and 7); PassPort Button cannula (6-mm internal diameter, 2-cm length) (8); 4.75-mm tap for SwiveLock tapping (9); 3.5-mm × 15.8-mm BioComposite-SwiveLock (10); and 4.75-mm × 19.1-mm BioComposite-SwiveLock loaded with No. 2 FiberTape (11 and 12).

Article Snippet: Fig 1 Implants and instruments used for described technique (all implants are from Arthrex): drill guide and 2.4-mm drill for SutureTak preparation (1 and 2); BioComposite-SutureTak, 3 mm × 14 mm, loaded with FiberWire (3); drill guide and 2.7-mm drill for fibular SwiveLock preparation (4 and 5); cannulated drill guide and 3.4-mm cannulated drill for talar SwiveLock preparation (6 and 7); PassPort Button cannula (6-mm internal diameter, 2-cm length) (8); 4.75-mm tap for SwiveLock tapping (9); 3.5-mm × 15.8-mm BioComposite-SwiveLock (10); and 4.75-mm × 19.1-mm BioComposite-SwiveLock loaded with No. 2 FiberTape (11 and 12).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tape Augmentation for Anterior Talofibular Ligament Repair

doi: 10.1016/j.eats.2020.02.017

Figure Lengend Snippet: Pearls and Pitfalls of Technique

Article Snippet: Fig 1 Implants and instruments used for described technique (all implants are from Arthrex): drill guide and 2.4-mm drill for SutureTak preparation (1 and 2); BioComposite-SutureTak, 3 mm × 14 mm, loaded with FiberWire (3); drill guide and 2.7-mm drill for fibular SwiveLock preparation (4 and 5); cannulated drill guide and 3.4-mm cannulated drill for talar SwiveLock preparation (6 and 7); PassPort Button cannula (6-mm internal diameter, 2-cm length) (8); 4.75-mm tap for SwiveLock tapping (9); 3.5-mm × 15.8-mm BioComposite-SwiveLock (10); and 4.75-mm × 19.1-mm BioComposite-SwiveLock loaded with No. 2 FiberTape (11 and 12).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tape Augmentation for Anterior Talofibular Ligament Repair

doi: 10.1016/j.eats.2020.02.017

Figure Lengend Snippet: Arthroscopic talar anchor placement and InternalBrace insertion: arthroscopic drilling and placement of talar 4.75-mm SwiveLock loaded with No. 2 FiberTape. (A) The drill guide (DG) is inserted through the PassPort Button cannula (PC) in the accessory anterolateral portal. The cannula is used to reduce soft-tissue damage, especially to protect the lateral cutaneous branch of the superficial peroneal nerve. The drill is oriented to the talar body from distal to proximal, pointing to the medial malleolus. The inset (a) shows an arthroscopic view from the anteromedial portal. Drilling is performed at the anatomic talar footprint of the anterior talofibular ligament remnant, angulated 90° to the bony surface. (B) After drilling, a 4.75-mm tap (T) is inserted and tapped down to the black laser line. The inset (b) shows an arthroscopic view during tapping. (PC, PassPort Button cannula.) (C) After tapping, a 4.75-mm SwiveLock (SL) loaded with a No. 2 FiberTape (FT) is inserted in the prepared drill hole. The green paddle on the screwdriver is held stationary while the driver is turned clockwise until the anchor is completely buried in the talus. The inset (c) shows an arthroscopic view during anchor introduction. (PC, PassPort Button cannula.) (D) The driver is removed, and a manual pullout test is performed to check the stability of the SwiveLock. The inset (d) shows an arthroscopic view looking at the tensioned FiberTape (FT) during the manual pullout test. (PC, PassPort Button cannula.)

Article Snippet: Fig 1 Implants and instruments used for described technique (all implants are from Arthrex): drill guide and 2.4-mm drill for SutureTak preparation (1 and 2); BioComposite-SutureTak, 3 mm × 14 mm, loaded with FiberWire (3); drill guide and 2.7-mm drill for fibular SwiveLock preparation (4 and 5); cannulated drill guide and 3.4-mm cannulated drill for talar SwiveLock preparation (6 and 7); PassPort Button cannula (6-mm internal diameter, 2-cm length) (8); 4.75-mm tap for SwiveLock tapping (9); 3.5-mm × 15.8-mm BioComposite-SwiveLock (10); and 4.75-mm × 19.1-mm BioComposite-SwiveLock loaded with No. 2 FiberTape (11 and 12).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tape Augmentation for Anterior Talofibular Ligament Repair

doi: 10.1016/j.eats.2020.02.017

Figure Lengend Snippet: Fibular anchor preparation. (A) Preparation of fibular anterior talofibular ligament (ATFL) footprint. The FiberTape (FT) is coming out of the accessory anterolateral portal. A chisel (C) is used to roughen the bony surface to enhance soft tissue–to–bone healing. (B) Drilling with a 2.4-mm drill (D) and a drill guide (DG) at the central cranial aspect of the footprint. (C) Introduction of a 3.0-mm SutureTak (ST) anchor loaded with FiberWire. This anchor is later used for the modified Broström-Gould procedure. (D) Guidewire (GW) drilling at the lateral aspect of the ATFL footprint. (E) Cannulated drilling with a 2.7-mm drill (D) for SwiveLock preparation. After removal of the guidewire and drill, a 4.75-mm tap is used for fibular InternalBrace preparation. (F) To accommodate both lids of the FiberTape, the fibular anchor is prepared with a 4.75-mm tap (T) even though a 3.5-mm SwiveLock is used.

Article Snippet: Fig 1 Implants and instruments used for described technique (all implants are from Arthrex): drill guide and 2.4-mm drill for SutureTak preparation (1 and 2); BioComposite-SutureTak, 3 mm × 14 mm, loaded with FiberWire (3); drill guide and 2.7-mm drill for fibular SwiveLock preparation (4 and 5); cannulated drill guide and 3.4-mm cannulated drill for talar SwiveLock preparation (6 and 7); PassPort Button cannula (6-mm internal diameter, 2-cm length) (8); 4.75-mm tap for SwiveLock tapping (9); 3.5-mm × 15.8-mm BioComposite-SwiveLock (10); and 4.75-mm × 19.1-mm BioComposite-SwiveLock loaded with No. 2 FiberTape (11 and 12).

Techniques: Modification

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tape Augmentation for Anterior Talofibular Ligament Repair

doi: 10.1016/j.eats.2020.02.017

Figure Lengend Snippet: Minimally invasive modified Broström-Gould anterior talofibular ligament (ATFL) repair. (A) A mosquito clamp (MC) is inserted from the minimal incision and passed to the accessory anterolateral portal to grasp both ends of the FiberTape (FT) and shuttle it to the incision. The FiberTape will be needed in a later step for InternalBrace augmentation. (B) In this specimen, a modified Broström-Gould repair was indicated. The inferior extensor retinaculum (IER) is identified and held with a pincer. (C) Both ends of the FiberWire are passed through the IER, which is then sutured to the fibular footprint of the ATFL. During this procedure, the foot is held in a neutral position with slight eversion. Before the IER is tied to the fibular footprint, a guidewire (GW) is temporarily placed in the already prepared drill tunnel for the SwiveLock. (D) The modified Broström-Gould ATFL repair is completed by tying both ends of the FiberWire (FW).

Article Snippet: Fig 1 Implants and instruments used for described technique (all implants are from Arthrex): drill guide and 2.4-mm drill for SutureTak preparation (1 and 2); BioComposite-SutureTak, 3 mm × 14 mm, loaded with FiberWire (3); drill guide and 2.7-mm drill for fibular SwiveLock preparation (4 and 5); cannulated drill guide and 3.4-mm cannulated drill for talar SwiveLock preparation (6 and 7); PassPort Button cannula (6-mm internal diameter, 2-cm length) (8); 4.75-mm tap for SwiveLock tapping (9); 3.5-mm × 15.8-mm BioComposite-SwiveLock (10); and 4.75-mm × 19.1-mm BioComposite-SwiveLock loaded with No. 2 FiberTape (11 and 12).

Techniques: Modification

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tape Augmentation for Anterior Talofibular Ligament Repair

doi: 10.1016/j.eats.2020.02.017

Figure Lengend Snippet: InternalBrace augmentation. (A) The ends of the FiberTape (FT) are passed through the eyelet of the 3.5-mm SwiveLock (SL). (B) The eyelet of the 3.5-mm SwiveLock anchor (SL) is advanced to the edge of the fibular drill tunnel. The FiberTape suture (FT) should be pulled to the desired tension and marked at the level of the black laser line (M) on the anchor. To avoid over-tensioning, the foot should be placed in a neutral position. The guidewire (GW) is kept in place in the drill tunnel for SwiveLock insertion. (C) The SwiveLock anchor eyelet is moved back to the marked point (M) on the FiberTape suture. The temporarily placed guidewire (GW) is removed. (D) The SwiveLock (SL) is introduced into the drill tunnel. A mallet can be used to gently hit the handle of the anchor. The handle is turned clockwise until the anchor is buried in the bone. (E) The rest of the FiberTape (FT) is cut. (F) Only a small, 2-cm incision is used for arthroscopically assisted anterior talofibular ligament repair with InternalBrace augmentation.

Article Snippet: Fig 1 Implants and instruments used for described technique (all implants are from Arthrex): drill guide and 2.4-mm drill for SutureTak preparation (1 and 2); BioComposite-SutureTak, 3 mm × 14 mm, loaded with FiberWire (3); drill guide and 2.7-mm drill for fibular SwiveLock preparation (4 and 5); cannulated drill guide and 3.4-mm cannulated drill for talar SwiveLock preparation (6 and 7); PassPort Button cannula (6-mm internal diameter, 2-cm length) (8); 4.75-mm tap for SwiveLock tapping (9); 3.5-mm × 15.8-mm BioComposite-SwiveLock (10); and 4.75-mm × 19.1-mm BioComposite-SwiveLock loaded with No. 2 FiberTape (11 and 12).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopic Knotless Subscapularis Bridge Technique for Reverse Hill-Sachs Lesion With Posterior Shoulder Instability

doi: 10.1016/j.eats.2020.09.016

Figure Lengend Snippet: (A) A Bio-SwiveLock anchor loaded with FiberTape suture is introduced into the inferior percutaneous portal, crossing the pre-subscapularis working space, to continue through the subscapularis tendon. (B) Arthroscopic view of right shoulder with posterior shoulder instability, in lateral oblique position, from superior portal. The anchor is introduced into the inferior anchor hole previously made in the reverse Hill-Sachs lesion (RHS), going across the subscapularis. (A, Bio-SwiveLock anchor; AP, anterior portal with cannula; F, FiberTape suture; G, glenoid; HH, humeral head; IL, inferior glenohumeral ligament; ML, medial glenohumeral ligament; S, superior portal with camera; ST, subscapularis tendon.)

Article Snippet: The FiberTape sutures are then loaded in the eyelet core screw of the second 4.75-mm Arthrex Bio-SwiveLock anchor ( D), which is screwed into the hole after passing over the superior border of the subscapularis tendon ( ).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopic Knotless Subscapularis Bridge Technique for Reverse Hill-Sachs Lesion With Posterior Shoulder Instability

doi: 10.1016/j.eats.2020.09.016

Figure Lengend Snippet: Arthroscopic view of right shoulder with posterior shoulder instability, in lateral oblique position, from superior portal. (A) The Bio-SwiveLock screw is inserted in the second hole of the superior aspect of the reverse Hill-Sachs lesion (RHSL), superiorly and without piercing the subscapularis tendon (ST). (B) With the screw almost fully inserted, the subscapularis tendon (ST) filling the defect can be noted. (A, Bio-SwiveLock anchor; HH, humeral head.)

Article Snippet: The FiberTape sutures are then loaded in the eyelet core screw of the second 4.75-mm Arthrex Bio-SwiveLock anchor ( D), which is screwed into the hole after passing over the superior border of the subscapularis tendon ( ).

Techniques: