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Long Head of Biceps Tendon Transfer for Anterior Shoulder Instability

Lobão Gonçalves, Mario H., MD; Murthi, Anand M., MD

Techniques in Shoulder & Elbow Surgery: December 2018 - Volume 19 - Issue 4 - p 175–178
doi: 10.1097/BTE.0000000000000153

Recurrent anterior shoulder dislocation is a common disabling condition that is treated with either arthroscopic Bankart repair or open Bristow-Latarjet procedure. Although multiple studies have reported excellent results for both techniques, there is still a relatively high incidence of complications. We describe a technique variation for the treatment of recurrent anterior shoulder dislocation: the long head of biceps tendon transfer. This technique follows the same crucial “sling effect” of the Bristow-Latarjet without the risk of coracoid bone block complications or scapular dyskinesis due to detachment of the conjoined tendon and pectoralis minor from the scapula. Moreover, it can be used with capsule-labrum repair.

MedStar Union Memorial Hospital, Baltimore, MD

Supported by the MedStar Union Memorial Hospital.

The authors declare no conflict of interest.

Reprints: Mario H. Lobão Gonçalves, MD, 115 N Charles Street, Suite 402, Baltimore 21201, MD (e-mail:

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.