Biceps Suspension Procedure for Treatment of Painful Inferior Glenohumeral Subluxation in Hemiparetic Patients.

ABSTRACT:

Introduction

This article describes our biceps suspension procedure for painful inferior subluxation of the glenohumeral joint in hemiparetic patients.

Step 1 position patient and expose the biceps tendon

Position the patient supine and expose the long head of the biceps tendon.

Step 2 create tunnel

Use a curet to connect holes drilled at the superior and inferior aspects of the lesser tuberosity.

Step 3 prepare biceps tendon

Incise the tendon at the musculotendinous junction to preserve as much length of the biceps tendon as possible.

Step 4 create suspension

Create a loop with the tendon, and suture the distal end to the proximal end.

Step 5 postoperative protocol

Use a sling for three months, followed by active range-of-motion exercises.

Results

In summary, all patients noted pain relief after surgery, ten (of eleven) noted decreased deformity, and nine were "very satisfied" with the outcome.

What to watch for

IndicationsContraindicationsPitfalls & Challenges.

SUBMITTER: Namdari S 

PROVIDER: S-EPMC8343971 | biostudies-literature | 2011 Jul-Sep

REPOSITORIES: biostudies-literature