Tensionable Knotless Tendon‐Sparing Biceps Rerouting Technique for Irreparable Rotator Cuff Tears

Ignancio Pérez, Pia Stefano, Hady Ezzeddine, Alex Campagnoli, Xavi Rius, Abdul‐ilah Hachem · 2026

Read Tensionable Knotless Tendon‐Sparing Biceps Rerouting Technique for Irreparable Rotator Cuff Tears by Ignancio Pérez, Pia Stefano, Hady Ezzeddine, Alex Campagnoli, Xavi Rius, Abdul‐ilah Hachem (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13399868.txt.

Description

Ignacio Pérez and colleagues describe a tendon-sparing biceps rerouting operation for irreparable rotator cuff tears. Their 2026 technical paper targets tears of the supraspinatus, the top rotator cuff tendon, where the humeral head can ride upward without a stable roof. Superior capsular reconstruction usually needs a graft, but this method repurposes the long head of the biceps instead.

The biceps tendon is released from its groove, rerouted over the humeral head footprint, and secured with two knotless all-suture anchors that form tensionable loops stabilizing the biceps and remaining cuff tissue. Side-to-side sutures add reduction and stability, with no graft harvest, tendon perforation, or bone tunnels. The authors present it as reproducible and minimally invasive for degenerative tendons, while careful patient selection and outcome data remain essential.

Catalog record

CREATORIgnancio Pérez, Pia Stefano, Hady Ezzeddine, Alex Campagnoli, Xavi Rius, Abdul‐ilah Hachem
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE21 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13399868

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