The Long Head of the Biceps Tendon as a Pedicled Autograft for Acromioclavicular Joint Reconstruction: Development of an Arthroscopic Technique

The Long Head of the Biceps Tendon as a Pedicled Autograft for Acromioclavicular Joint Reconstruction: Development of an Arthroscopic Technique | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article The Long Head of the Biceps Tendon as a Pedicled Autograft for Acromioclavicular Joint Reconstruction: Development of an Arthroscopic Technique Nuno Sevivas, Mariana Pinto, Diogo Nunes Sousa, Diogo Barreira, and 7 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8013678/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 13 Mar, 2026 Read the published version in Surgical and Radiologic Anatomy → Version 1 posted 7 You are reading this latest preprint version Abstract Acromioclavicular joint (ACJ) dislocation is a frequent shoulder injury, and high-grade cases often require surgical reconstruction. Although multiple techniques have been described, no single method has achieved consensus as the gold standard. The long head of the biceps tendon (LHBT) represents an attractive autologous option, as it is anatomically adjacent to the ACJ, preserves vascularity when used as a pedicled graft, and reduces donor-site morbidity. Building on prior anatomical studies, this cadaveric investigation describes and validates an arthroscopic technique for ACJ reconstruction using the LHBT. The graft is mobilized while maintaining its supraglenoid origin, passed through a clavicular tunnel under endoscopic and fluoroscopic guidance, and reinforced vertically with a suspensory (suture-button) device passing independently through a coraco-clavicular tunnel, and with an acromioclavicular cerclage to enhance horizontal stability. The procedure proved feasible, reproducible, and safe with respect to anatomical landmarks and adjacent structures. Clinical relevance : This technique offers a biologically sound, minimally invasive alternative for ACJ reconstruction that may reduce morbidity and improve reproducibility compared with conventional graft-based procedures. Shoulder surgery Dislocation Complication Minimally Invasive Surgical Procedure Stability Full Text Additional Declarations Competing interest reported. • Alexandre Lädermann is a paid consultant for Arthrex, Stryker, and Medacta. He received royalties from Stryker and Medacta. He is the (co-)founder of FORE, Med4Cast, and BeeMed. He owns stock options in BeeMed and Follow Health. He is on the board of the French Arthroscopic Society. • Other authors declare no conflicts of interest. Cite Share Download PDF Status: Published Journal Publication published 13 Mar, 2026 Read the published version in Surgical and Radiologic Anatomy → Version 1 posted Editorial decision: Revision requested 22 Dec, 2025 Reviews received at journal 28 Nov, 2025 Reviewers agreed at journal 07 Nov, 2025 Reviewers invited by journal 07 Nov, 2025 Editor assigned by journal 05 Nov, 2025 Submission checks completed at journal 03 Nov, 2025 First submitted to journal 02 Nov, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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