Arthroscopic Biceps Tenodesis

Arthroscopic biceps tenodesis in Chennai is a surgical procedure used to treat various biceps-related shoulder conditions, including biceps tendonitis, tendon rupture, and SLAP tears. The procedure involves re-anchoring the long head of the biceps tendon to the humerus bone using arthroscopic techniques. This can be done either by anchoring the tendon to the bone using a screw or a small metal implant, or by using sutures to tie the tendon to the bone.

Arthroscopic biceps tenodesis is typically performed as an outpatient procedure under general anesthesia. Small incisions are made in the shoulder area to allow the arthroscope and surgical instruments to be inserted. The surgeon will then identify the long head of the biceps tendon and detach it from its current attachment site. The tendon will then be repositioned and re-anchored to the humerus bone using the chosen method. Once the tendon is secured in place, the incisions will be closed with sutures.

Arthroscopic biceps tenodesis is a less invasive alternative to open surgery and offers several advantages, including a shorter recovery time, less scarring, and less postoperative pain. The procedure is generally considered safe and effective, with high success rates in treating biceps-related shoulder conditions. However, as with any surgical procedure, there are risks involved, including infection, bleeding, nerve injury, and failure of the repair. It is important for patients to discuss the risks and benefits of arthroscopic biceps tenodesis with their surgeon before deciding to undergo the procedure.

Arthroscopic biceps tenodesis in Chennai is a surgical procedure used to treat biceps tendon disorders, such as chronic tendinitis, instability, and tears. The procedure involves detaching the biceps tendon from its original attachment point in the shoulder and reattaching it to a new location on the humerus bone. This is done using arthroscopic techniques, which involve small incisions and the use of a camera and instruments to perform the surgery.

The benefits of arthroscopic biceps tenodesis in Chennai include less pain, faster recovery, and reduced risk of complications compared to traditional open surgery. The procedure is typically performed on an outpatient basis, and patients can usually return to normal activities within a few weeks after surgery.

Arthroscopic biceps tenodesis in Chennai is typically recommended for patients who have not responded to non-surgical treatments, such as physical therapy, rest, and medications. It may also be recommended for patients with significant biceps tendon tears or instability, or those who require surgery for other shoulder problems, such as rotator cuff tears.

As with any surgical procedure, there are potential risks and complications associated with arthroscopic biceps tenodesis in Chennai, which should be discussed with your surgeon before undergoing the procedure. Overall, however, the procedure has been shown to be safe and effective in improving shoulder function and reducing pain in patients with biceps tendon disorders.

The pre-operative evaluation for arthroscopic biceps tenodesis in Chennai typically includes a detailed medical history and physical examination. The surgeon may also request imaging studies such as X-rays, MRI, or ultrasound to evaluate the biceps tendon and surrounding structures.

During the medical history, the surgeon will assess any previous shoulder injuries, surgeries, or medical conditions that may affect the surgery or recovery. They will also review any current medications, allergies, or other relevant medical information.

The physical examination will focus on the shoulder and arm, including range of motion, strength, and stability tests. The surgeon will also assess the integrity of the biceps tendon and evaluate for any signs of inflammation or degeneration.

The patient may need to undergo some pre-operative tests, such as blood tests or electrocardiogram, depending on their age and medical history.

In addition to the medical evaluation, the patient will also receive instructions on preparing for the surgery, such as fasting guidelines, medication adjustments, and arrangements for transportation and post-operative care.

Procedure for Arthroscopic Biceps Tenodesis in Chennai

Arthroscopic biceps tenodesis in Chennai is usually performed under general anesthesia or regional anesthesia with sedation. The procedure typically takes about an hour to complete.

The surgeon will begin by making two or three small incisions around the shoulder joint. A small camera, called an arthroscope, is then inserted into one of the incisions. This allows the surgeon to view the inside of the shoulder joint on a video screen.

The next step is to identify the biceps tendon and prepare it for removal. The tendon is cut free from its attachment at the top of the upper arm bone (humerus) and pulled out of the shoulder joint.

The surgeon will then prepare the bone socket where the biceps tendon was previously attached. The socket is typically deepened and widened to create a more stable base for the new attachment.

The biceps tendon is then reattached to the bone socket using one of several methods, including screws, sutures, or a combination of both.

Once the tendon is securely reattached, the surgeon will check the shoulder joint for any remaining issues, such as frayed or damaged tissue, and address them as needed.

Finally, the incisions are closed with stitches or surgical tape, and a dressing is applied to the shoulder. The patient is typically sent to a recovery room for a few hours to be monitored before being discharged home.

The immediate post-operative care for arthroscopic biceps tenodesis in Chennai usually involves close monitoring of the patient’s vital signs, pain management, and wound care. The patient may experience some discomfort, swelling, and stiffness in the shoulder area, which is normal and can be managed with medications and cold therapy.

The surgical incision will be covered with a dressing, which should be kept clean and dry. The patient should avoid any activities that involve lifting or stretching the affected arm for a few days after the surgery. The use of a sling or brace may be necessary to immobilize the arm and prevent accidental movements that could cause damage to the repaired tendon.

Physical therapy and rehabilitation usually begin a few days after the surgery, focusing on gentle range of motion exercises and strengthening exercises for the shoulder muscles. The patient will gradually progress to more challenging exercises over the course of several weeks, under the guidance of a physical therapist.

The overall recovery time for arthroscopic biceps tenodesis in Chennai varies depending on the individual case, but most patients can resume normal daily activities within a few weeks and return to sports or other high-impact activities within a few months. Regular follow-up appointments with the surgeon and physical therapist will help to ensure that the healing process is progressing as expected.

Rehabilitation after arthroscopic biceps tenodesis in Chennai typically involves a multi-phase process to gradually restore strength and mobility to the affected arm. The specific rehabilitation program may vary depending on the surgeon’s preferences, the patient’s individual needs and goals, and any complications that may have occurred during the surgery.

During the initial phase of rehabilitation, the focus is on controlling pain and swelling while maintaining mobility in the arm. Patients may be prescribed pain medication and are usually advised to rest the affected arm in a sling for several days to allow the surgical site to heal.

The second phase of rehabilitation typically involves gentle range-of-motion exercises and physical therapy. Patients may begin with passive range-of-motion exercises, such as assisted stretching, before gradually transitioning to active range-of-motion exercises that they perform on their own. Strengthening exercises for the biceps and other muscles in the arm are also added as the patient progresses.

The final phase of rehabilitation involves more intense strengthening exercises and functional training to help patients regain full range of motion and strength in the affected arm. This may include activities such as lifting weights, using resistance bands, and performing functional exercises that mimic everyday activities.

Overall, rehabilitation after arthroscopic biceps tenodesis in Chennai is an important component of the recovery process and can play a critical role in helping patients regain full use of their arms. Patients should work closely with their healthcare provider to develop an individualized rehabilitation plan that meets their unique needs and goals.

Frequently Asked Questions

Recovery time for arthroscopic biceps tenodesis in Chennai varies but generally involves a few weeks of limited arm use, followed by a gradual return to normal activities. Patients may resume light activities within a week but might require 4-6 weeks before more strenuous activities. However, individual recovery can differ, and adherence to the surgeon’s postoperative instructions is crucial for optimal healing and outcomes.

Biceps tenodesis, while generally safe, carries some risks. These include infection, bleeding, and nerve injury. There’s also a possibility of persistent pain or stiffness. In rare cases, the tenodesis site may not heal properly, leading to re-tearing. Adhering to postoperative care guidelines and regular follow-ups with the surgeon can help mitigate these risks and enhance the success of the procedure.

The success rate of biceps surgery, including procedures like biceps tenodesis, varies depending on factors such as the specific surgery, patient health, and adherence to rehabilitation. Generally, success rates are high, with many patients experiencing relief from pain and improved function. Success is often determined by reduced symptoms, restored range of motion, and the ability to resume normal activities. Individual outcomes may vary.

Arthroscopic Biceps Tenodesis