RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0038-1632742
Cadaveric evaluation of canine arthroscopic bicipital tenotomy
Figure editing and production; John Doval, Media Lab - VMSRS, University of California, Davis
Publikationsverlauf
Received
11. Januar 2002
Accepted
24. April 2002
Publikationsdatum:
08. Februar 2018 (online)
Summary
Purpose
The purposes of this study were to determine the optimal portal location, limb position and instrumentation for arthroscopic assisted biceps tenotomy as an alternative to open tendon transection and humeral tenodesis and to evaluate anatomical location and support of the tendon following transection.
Methods
Eight canine cadaver shoulder joints underwent arthroscopic visualization of bicipital tendon length via cranio-lateral and caudo-lateral camera portals in a variety of thoracic limb positions to determine maximal tendon length visualization by anatomical marking. Comparison of tenotomy time and ease was compared between radio frequency microscalpel, blade and arthroscopic shaver. Gross anatomical dissection was performed post-tenotomy to record tendon lengths, locations and supporting structures.
Results
The cranio-lateral camera port in conjunction with combined moderate shoulder and elbow flexion optimized tendon visualization, accessible length, and instrumentation ease. Visualized tendon length varied from 39-76% of total tendon length. Tenotomy times were lowest via blade and were unable to be performed with the shaver. After tenotomy the distal tendon segment remained loosely tethered within the in- tertubercular groove at the level of the intertubercular ligament by tendon sheath and capsular attachments.
Discussion
Biceps tenotomy is readily performed with standard arthroscopic equipment. Appropriate limb positioning and modification of previously described portals allows maximal access. Immediately posttenotomy the distal tendon is loosely maintained within the bicipital groove by tendon sheath and capsular attachments.
-
References
- 1 Ahovuo J, Paavolainen PPSlatis. Radiographic diagnosis of biceps tendonitis. Acta Orthop Scand 1985; 56 (01) 75-8.
- 2 Bardet J. Diagnosis of shoulder instability in dogs and cats: A retrospective study. J Am Anim Hosp Assoc 1998; 34: 42-54.
- 3 Bardet J. Lesions of the biceps tendon diagnosis and classification. Vet Comp Orthop Traumatol 1999; 12: 188-95.
- 4 Barthez B, Morgan J. Bicipital tenosynovitis in the dog-evaluation with positive contrast arthrography. Vet Radiol Ultrasound 1993; 34 (05) 325-30.
- 5 Becker DA, Cofield RH. Tenodesis of the long head of the biceps brachii for chronic bicipital tendonitis. Long-term results. J Bone Joint Surg Am 1989; 71 (03) 376-81.
- 6 Bleyaert HF, Madison JB. Complete biceps brachii tenotomy to facilitate internal fixation of supraglenoid tubercle fractures in three horses. Vet Surg 1999; Jan-Feb; 28 (01) 48-53.
- 7 Berlemann U, Bayley I. Tenodesis of the long head of biceps brachii in the painful shoulder: improving results in the long term. J Shoulder Elbow Surg 1995; 04 (06) 429-35.
- 8 Cook J, Kenter K, Tomlinson J. Arthroscopic treatment of shoulder instability using radiofrequency-induced thermal modification. Abstract presentation, VOS Proceedings. Lake Louise, Canada 2001
- 9 Curtis AS, Snyder SJ. Evaluation and treatment of biceps tendon pathology. Orthop Clin North Am 1993; 24 (01) 33-43.
- 10 Davidson EB, Griffey SM, Vasseur PB, Shields SL. Histopathological, radiographic, and arthrographic comparison of the biceps tendon in normal dogs and dogs with biceps tenosynovitis. J Am Anim Hosp Assoc 2000; 36 (06) 522-30.
- 11 Deneuche A, Viguier E. Arthroscopic study of shoulder diseases in the dog: 34 cases ECVS Proceedings Velbert. Germany 2001; 49-51.
- 12 Eakin CL, Faber KJ, Hawkins RJ, Hovis WD. Biceps tendon disorders in athletes. J Am Acad Orthop Surg 1999; 07 (05) 300-10.
- 13 Getelman M, Snyder S. Chapter 6.1: Arthroscopic management of SLAP lesions and biceps tendon injuries. Advanced Arthroscopy/ editor. Chow JCY. Springer-Verlag; New York: 2001
- 14 Goring R, Price C. Arthroscopic examination of the canine scapulohumeral joint. J Am Anim Hosp Assoc 1987; 23: 551-55.
- 15 Green S, Buchbinder R, Glazier R. Systematic review of randomized controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy. British Medical Journal 1998; 316: 354-60.
- 16 Guckel C, Nidecker A. MR arthrographic findings in tenosynovitis of the long bicipital tendon of the shoulder. Skeletal Radiol 1998; 27 (01) 7-12.
- 17 Kramer M, Gerwing M, Sheppard C, Schimke E. Ultrasonography for the diagnosis of diseases of the tendon and tendon sheath of the biceps brachii muscle. Vet Surg 2001; Jan-Feb; 30 (01) 64-71.
- 18 Lahue T, Brown G, Roush J. Entrapment of joint mice in the bicipital tendon sheath as a sequela to osteochondritis dissecans of the proximal humerus in dogs: a report of six cases. J Am Anim Hosp Assoc 1988; 24: 99-105.
- 19 Laurencin CT, Deutsch A, O’Brien SJ, Altchek DW. The superolateral portal for arthroscopy of the shoulder. Arthroscopy 1994; 10 (03) 255-8.
- 20 Lincoln J, Potter K. Tenosynovitis of the biceps brachii tendon in dogs. J Am Anim Hosp Assoc 1984; 20: 385-92.
- 21 Long CD, Nyland TG. Ultrasonographic evaluation of the canine shoulder. Vet Radiol Ultrasound 1999; 40 (04) 372-9.
- 22 Matthews LS, Zarins B, Michael RH, Helfet DL. Anterior portal selection for shoulder arthroscopy. Arthroscopy 1985; 01 (01) 33-9.
- 23 Mitchell RA, Innes JF. Lateral glenohumeral ligament rupture in three dogs. J Small Anim Pract 2000; Nov; 41 (11) 511-4.
- 24 Muir P, Goldsmid SE, Rothwell TL, Bellenger CR. Calcifying tendinopalhy of the biceps brachii in a dog. J Am Vet Med Assoc 1992; 201 (11) 1747-9.
- 25 Muir P, Johnson K. Supraspinatus and biceps brachii tendinopathy in dogs. J Sm Anim Pract 1994; 35: 239-43.
- 26 Nottage W. Arthroscopic portals: anatomy at risk. Orthopedic Clinics of North America 1993; 24 (01) 19-43.
- 27 Olivieri M, Piras A, Vezzoni A. Arthroscopic experiences in orthopaedic conditions of the shoulder joint: Review of 115 cases. ECVS Proceedings Velbert, Germany 2001; 71-2.
- 28 Person MW. Arthroscopy of the canine shoulder. Compend. Cont Edu Pract Vet 1986; 08 (08) 537-46.
- 29 Read JW, Perko M. Shoulder ultrasound: diagnostic accuracy for impingement syndrome, rotator cuff tear, and biceps tendon pathology. J Shoulder Elbow Surg 1998; 07 (03) 264-71.
- 30 Rivers B, Wallace L, Johnston G. Biceps tenosynovitis in the dog: radiographic and sonographic findings. Vet Comp Orthop Traumatol 1992; 05: 51-6.
- 31 Stobie D, Wallace L, Lipowitz A. Chronic bicipital tenosynovitis in dog: 29 cases (1985-1992). JAVMA 1995; 207 (02) 201-7.
- 32 Van Bree H, Van Ryssen B. Diagnostic and surgical arthroscopy in osteochondrosis lesions. Vet Clin of Nth Am: Sm Anim Pract 1998; 28 (01) 61-189.
- 33 Van Bree H, Van Ryssen B. Arthroscopy of the shoulder joint in the dog. J Am Anim Hosp Assoc 1993; 29: 101-5.
- 34 Vasseur PB, Moore D, Brown SA. Stability of the canine shoulder joint: an in vitro analysis. Am J Vet Re 1982; 43 (02) 352-5.
- 35 Vasseur PB, Pool RR, Klein K. Effects of tendon transfer on the canine scapulohumeral joint. Am J Vet Res 1983; 44 (05) 811-5.
- 36 Wall C, Taylor R. Arthroscopic biceps brachii tenotomy as a treatment for canine bicipital tenosynovitis. J Am Anim Hosp Assoc 2002; 38: 169-75.
- 37 Walch G, Madonia G, Pozzi I. Arthroscopic tenotomy of the long head of the biceps in rotator cuff ruptures. Chapter 11 - Retracted, irreparable tears of the supra- and infraspinatus. The Cuff. Gazielly D, Gleyze P, Thomas T. eds. Elsevier, Paris 1997: 350-5.
- 38 Whitney W, Beale B, Hulse D. Arthroscopic release of the biceps brachii tendon for treatment of bicipital tendon injury in 6 dogs. VOS Proceedings 2001, Lake Louise, Canada. Vet Comp Orthop Traumatol. 2001 14. 03 (Abstr. A14)