{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T03:55:24Z","timestamp":1793678124541,"version":"4.5.1"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T00:00:00Z","timestamp":1720396800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T00:00:00Z","timestamp":1720396800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T00:00:00Z","timestamp":1720396800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T00:00:00Z","timestamp":1720396800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T00:00:00Z","timestamp":1719273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the maximal load to failure, cyclic displacement, stiffness, and modes of failure of onlay subpectoral biceps tenodesis with an intramedullary unicortical metal button (MB) versus an inlay, all\u2010suture Caspari\u2010Weber (CW) technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixteen matched paired human cadaveric proximal humeri were randomly allocated for subpectoral BT with either CW or MB using a high\u2010strength suture (N\u00a0= 16; 8 male, 8 female, mean age\u00a0= 82.5 years, range 62\u201099 years). Specimens were tested on a servohydraulic mechanical testing apparatus under cyclic load for 1,000 cycles and then loaded to failure. Maximal load to failure, displacement, construct stiffness, and mode of failure were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was no significant difference between groups when comparing construct stiffness, creep displacement, or displacement at ultimate load. The maximal load to failure for the CW technique was greater than the unicortical MB (588.36 \u00b1 149.06 N vs 375.83 \u00b1 131.4 N,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .014).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this study, the all\u2010suture CW biceps tenodesis technique had a greater maximal load to failure than the onlay unicortical MB technique while having similar construct displacement and stiffness. The CW subpectoral biceps tenodesis may offer a lower cost alternative with a mechanically robust fixation when performing an open subpectoral biceps tenodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>This cadaveric biomechanical study can help guide surgeons when selecting a fixation technique for biceps tenodesis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.100966","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T02:22:51Z","timestamp":1720405371000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["All Suture Biceps Tenodesis Has Greater Biomechanical Strength Than Metal Button Fixation"],"prefix":"10.1002","volume":"6","author":[{"given":"Matthew J.","family":"Kinnard","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Walter Reed National Military Medical Center Bethesda Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy D.","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Walter Reed National Military Medical Center Bethesda Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven D.","family":"Voinier","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Walter Reed National Military Medical Center Bethesda Maryland U.S.A."},{"name":"Oak Ridge Institute for Science and Education (ORISE) Oak Ridge Tennessee U.S.A."},{"name":"Extremity Trauma &amp; Amputation Center of Excellence (EACE) Walter Reed Medical Military Center Bethesda Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald F.","family":"Colantonio","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Keller Army Community Hospital West Point New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy P.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Walter Reed National Military Medical Center Bethesda Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick K.","family":"Mescher","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Walter Reed National Military Medical Center Bethesda Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Donohue","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Keller Army Community Hospital West Point New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melvin D.","family":"Helgeson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Walter Reed National Military Medical Center Bethesda Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Tucker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Walter Reed National Military Medical Center Bethesda Maryland 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