Mini‐Open Subpectoral Biceps Tenodesis With an Onlay Knotless TensionTight Locking Button Technique
Bibliographic record
Abstract
Although isolated long head of the biceps (LHB) pathology is relatively rare, it is commonly encountered in the treatment of concomitant intraarticular shoulder pathology such as subscapularis tear, SLAP tears, and coracoid impingement. Shoulder pain arising from the LHB generally occurs with overhead repetitive motion and activities of resisted pronation and supination of the forearm. Although there are several approaches to treatment and types of fixation used to address LHB tendon pathology, there is no clear superior method of surgical intervention. As opposed to intraosseous fixation with an inlay technique, an onlay technique fixes the tendon to the cortical surface with the advantage of decreased risk of torsional fracture and a smaller footprint with less bone loss. We describe our preferred technique for the treatment of the LHB tendon pathology using an all-knotless onlay TensionTight locking button technique with a mini-open subpectoral biceps tenodesis.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".