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

Abstract

This article describes our biceps suspension procedure for painful inferior subluxation of the glenohumeral joint in hemiparetic patients. Position the patient supine and expose the long head of the biceps tendon. Use a curet to connect holes drilled at the superior and inferior aspects of the lesser tuberosity. Incise the tendon at the musculotendinous junction to preserve as much length of the biceps tendon as possible. Create a loop with the tendon, and suture the distal end to the proximal end. Use a sling for three months, followed by active range-of-motion exercises. In summary, all patients noted pain relief after surgery, ten (of eleven) noted decreased deformity, and nine were "very satisfied" with the outcome. IndicationsContraindicationsPitfalls & Challenges.