{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:34:23Z","timestamp":1783344863899,"version":"3.54.6"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2008,6,4]],"date-time":"2008-06-04T00:00:00Z","timestamp":1212537600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Rotator cuff tears are frequently associated with pathologies of the long head of the biceps tendon (LHBT). Tenotomy and tenodesis of the LHBT are commonly used to manage disorders of the LHBT.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We present an arthroscopic soft tissue LHBT tenodesis associated with a Roman Bridge (double pulley \u2013 suture bridges) repair<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Two medial row 5.5-mm Bio-Corkscrew suture anchors (Arthrex, Naples, FL), double-loaded with No. 2 FiberWire sutures (Arthrex, Naples, FL), are placed in the medial aspect of the footprint. A shuttle is passed through an anterior point of the rotator cuff and through the LHBT by means of a Penetrator or a BirdBeak suture passer (Arthrex, Naples, FL). A tenotomy of the LHBT is performed. All the sutures from the anteromedial anchor are passed through a single anterior point in the rotator cuff using a shuttle technique. All the sutures from the posteromedial anchor are passed through a single posterior point in the rotator cuff. The sutures in the medial row are tied using the double pulley technique. A suture limb is retrieved from each of the medial anchors and manually tied as a six-throw surgeon's knot over a metal rod. The two free suture limbs are pulled to transport the knot over the top of the tendon bridge. The two free suture limbs are then used to produce suture bridges over the tendon, using a Pushlock (Arthrex, Naples, FL), placed 1 cm distal to the lateral edge of the footprint. The same double pulley \u2013 suture bridges technique is repeated for the other two suture limbs from the two medial anchors.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>This technique allows to perform a double pulley \u2013 suture bridges repair for a rotator cuff tear, associated with a soft tissue tenodesis for the management of LHBT pathology. The tenodesis of the LHBT is performed just with the passage of a shuttle inside the LHBT, after passing it through the anterior portion of the rotator cuff, with successive detachment of the LHBT from the glenoid. It is a technically easy procedure which can be performed relatively quickly, and does not require additional fixation.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1471-2474-9-78","type":"journal-article","created":{"date-parts":[[2008,6,4]],"date-time":"2008-06-04T18:14:07Z","timestamp":1212603247000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Soft tissue tenodesis of the long head of the biceps tendon associated to the Roman Bridge repair"],"prefix":"10.1186","volume":"9","author":[{"given":"Francesco","family":"Franceschi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umile Giuseppe","family":"Longo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Ruzzini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Rizzello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Denaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2008,6,4]]},"reference":[{"issue":"7","key":"484_CR1","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1016\/j.arthro.2005.04.002","volume":"21","author":"AD Mazzocca","year":"2005","unstructured":"Mazzocca AD, Rios CG, Romeo AA, Arciero RA: Subpectoral biceps tenodesis with interference screw fixation. Arthroscopy. 2005, 21 (7): 896-","journal-title":"Arthroscopy"},{"issue":"8","key":"484_CR2","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1302\/0301-620X.89B8.19278","volume":"89","author":"PM Ahrens","year":"2007","unstructured":"Ahrens PM, Boileau P: The long head of biceps and associated tendinopathy. J Bone Joint Surg Br. 2007, 89 (8): 1001-1009. 10.1302\/0301-620X.89B8.19278.","journal-title":"J Bone Joint Surg Br"},{"key":"484_CR3","volume-title":"A cowboy's guide to advanced shoulder arthroscopy","author":"SS Burkhart","year":"2006","unstructured":"Burkhart SS, Lo Y, Brady PC: A cowboy's guide to advanced shoulder arthroscopy. 2006, Lippincott Williams & Wilkins"},{"issue":"2","key":"484_CR4","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1177\/0363546507308194","volume":"36","author":"F Franceschi","year":"2008","unstructured":"Franceschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V: No advantages in repairing a type II superior labrum anterior and posterior (SLAP) lesion when associated with rotator cuff repair in patients over age 50: a randomized controlled trial. Am J Sports Med. 2008, 36 (2): 247-253. 10.1177\/0363546507308194.","journal-title":"Am J Sports Med"},{"issue":"4","key":"484_CR5","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1016\/S0030-5898(03)00093-2","volume":"34","author":"CS Ahmad","year":"2003","unstructured":"Ahmad CS, ElAttrache NS: Arthroscopic biceps tenodesis. Orthop Clin North Am. 2003, 34 (4): 499-506. 10.1016\/S0030-5898(03)00093-2.","journal-title":"Orthop Clin North Am"},{"issue":"7","key":"484_CR6","doi-asserted-by":"publisher","first-page":"861","DOI":"10.1016\/j.arthro.2005.03.020","volume":"21","author":"DP Richards","year":"2005","unstructured":"Richards DP, Burkhart SS: A biomechanical analysis of two biceps tenodesis fixation techniques. Arthroscopy. 2005, 21 (7): 861-866.","journal-title":"Arthroscopy"},{"issue":"2","key":"484_CR7","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1177\/0363546506294854","volume":"35","author":"AD Mazzocca","year":"2007","unstructured":"Mazzocca AD, Burton KJ, Romeo AA, Santangelo S, Adams DA, Arciero RA: Biomechanical evaluation of 4 techniques of distal biceps brachii tendon repair. Am J Sports Med. 2007, 35 (2): 252-258. 10.1177\/0363546506294854.","journal-title":"Am J Sports Med"},{"issue":"5","key":"484_CR8","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1053\/jars.2000.4386","volume":"16","author":"GM Gartsman","year":"2000","unstructured":"Gartsman GM, Hammerman SM: Arthroscopic biceps tenodesis: operative technique. Arthroscopy. 2000, 16 (5): 550-552.","journal-title":"Arthroscopy"},{"key":"484_CR9","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1016\/j.arthro.2004.04.049","volume":"20 Suppl 2","author":"DP Richards","year":"2004","unstructured":"Richards DP, Burkhart SS: Arthroscopic-assisted biceps tenodesis for ruptures of the long head of biceps brachii: The cobra procedure. Arthroscopy. 2004, 20 Suppl 2: 201-207.","journal-title":"Arthroscopy"},{"issue":"9","key":"484_CR10","doi-asserted-by":"publisher","first-page":"1040","DOI":"10.1053\/jars.2002.36467","volume":"18","author":"S Klepps","year":"2002","unstructured":"Klepps S, Hazrati Y, Flatow E: Arthroscopic biceps tenodesis. Arthroscopy. 2002, 18 (9): 1040-1045.","journal-title":"Arthroscopy"},{"issue":"9","key":"484_CR11","doi-asserted-by":"publisher","first-page":"1002","DOI":"10.1053\/jars.2002.36488","volume":"18","author":"P Boileau","year":"2002","unstructured":"Boileau P, Krishnan SG, Coste JS, Walch G: Arthroscopic biceps tenodesis: a new technique using bioabsorbable interference screw fixation. Arthroscopy. 2002, 18 (9): 1002-1012.","journal-title":"Arthroscopy"},{"issue":"4","key":"484_CR12","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1007\/s00264-006-0206-8","volume":"31","author":"F Franceschi","year":"2007","unstructured":"Franceschi F, Longo UG, Ruzzini L, Papalia R, Rizzello G, Denaro V: To detach the long head of the biceps tendon after tenodesis or not: outcome analysis at the 4-year follow-up of two different techniques. Int Orthop. 2007, 31 (4): 537-545. 10.1007\/s00264-006-0206-8.","journal-title":"Int Orthop"},{"issue":"2","key":"484_CR13","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1016\/j.jse.2004.07.013","volume":"14","author":"SL Checchia","year":"2005","unstructured":"Checchia SL, Doneux PS, Miyazaki AN, Silva LA, Fregoneze M, Ossada A, Tsutida CY, Masiole C: Biceps tenodesis associated with arthroscopic repair of rotator cuff tears. J Shoulder Elbow Surg. 2005, 14 (2): 138-144. 10.1016\/j.jse.2004.07.013.","journal-title":"J Shoulder Elbow Surg"},{"issue":"6","key":"484_CR14","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1007\/s00167-005-0026-1","volume":"14","author":"A Castagna","year":"2006","unstructured":"Castagna A, Conti M, Mouhsine E, Bungaro P, Garofalo R: Arthroscopic biceps tendon tenodesis: the anchorage technical note. Knee Surg Sports Traumatol Arthrosc. 2006, 14 (6): 581-585. 10.1007\/s00167-005-0026-1.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"484_CR15","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1186\/1471-2474-8-123","volume":"8","author":"F Franceschi","year":"2007","unstructured":"Franceschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V: The Roman Bridge: a \"double pulley - suture bridges\" technique for rotator cuff repair. BMC Musculoskelet Disord. 2007, 8: 123-10.1186\/1471-2474-8-123.","journal-title":"BMC Musculoskelet Disord"},{"issue":"1","key":"484_CR16","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1177\/03635465000280011701","volume":"28","author":"A Werner","year":"2000","unstructured":"Werner A, Mueller T, Boehm D, Gohlke F: The stabilizing sling for the long head of the biceps tendon in the rotator cuff interval. A histoanatomic study. Am J Sports Med. 2000, 28 (1): 28-31.","journal-title":"Am J Sports Med"},{"issue":"6","key":"484_CR17","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1016\/S1058-2746(99)90105-2","volume":"8","author":"N Sethi","year":"1999","unstructured":"Sethi N, Wright R, Yamaguchi K: Disorders of the long head of the biceps tendon. J Shoulder Elbow Surg. 1999, 8 (6): 644-654. 10.1016\/S1058-2746(99)90105-2.","journal-title":"J Shoulder Elbow Surg"},{"key":"484_CR18","volume-title":"Br J Sports Med","author":"UG Longo","year":"2007","unstructured":"Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, Denaro V: Characteristics at Haematoxylin and Eosin staining of ruptures of the long head of the biceps tendon. Br J Sports Med. 2007"},{"issue":"2","key":"484_CR19","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1177\/0363546504269555","volume":"33","author":"AM Kelly","year":"2005","unstructured":"Kelly AM, Drakos MC, Fealy S, Taylor SA, O'Brien SJ: Arthroscopic release of the long head of the biceps tendon: functional outcome and clinical results. Am J Sports Med. 2005, 33 (2): 208-213. 10.1177\/0363546504269555.","journal-title":"Am J Sports Med"},{"issue":"11","key":"484_CR20","doi-asserted-by":"publisher","first-page":"1950","DOI":"10.1177\/0363546507305009","volume":"35","author":"J Henry","year":"2007","unstructured":"Henry J, Feinblatt J, Kaeding CC, Latshaw J, Litsky A, Sibel R, Stephens JA, Jones GL: Biomechanical analysis of distal biceps tendon repair methods. Am J Sports Med. 2007, 35 (11): 1950-1954. 10.1177\/0363546507305009.","journal-title":"Am J Sports Med"},{"issue":"9","key":"484_CR21","doi-asserted-by":"publisher","first-page":"1544","DOI":"10.1177\/0363546507300690","volume":"35","author":"M Kettler","year":"2007","unstructured":"Kettler M, Lunger J, Kuhn V, Mutschler W, Tingart MJ: Failure strengths in distal biceps tendon repair. Am J Sports Med. 2007, 35 (9): 1544-1548. 10.1177\/0363546507300690.","journal-title":"Am J Sports Med"},{"issue":"1","key":"484_CR22","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.arthro.2003.11.017","volume":"20","author":"IK Lo","year":"2004","unstructured":"Lo IK, Burkhart SS: Arthroscopic biceps tenodesis using a bioabsorbable interference screw. Arthroscopy. 2004, 20 (1): 85-95.","journal-title":"Arthroscopy"},{"issue":"8","key":"484_CR23","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1016\/S0749-8063(04)00808-4","volume":"20","author":"PJ Millett","year":"2004","unstructured":"Millett PJ, Mazzocca A, Guanche CA: Mattress double anchor footprint repair: a novel, arthroscopic rotator cuff repair technique. Arthroscopy. 2004, 20 (8): 875-879.","journal-title":"Arthroscopy"},{"issue":"6","key":"484_CR24","doi-asserted-by":"publisher","first-page":"675 e1","DOI":"10.1016\/j.arthro.2006.08.016","volume":"23","author":"P Arrigoni","year":"2007","unstructured":"Arrigoni P, Brady PC, Burkhart SS: The double-pulley technique for double-row rotator cuff repair. Arthroscopy. 2007, 23 (6): 675 e1-4.","journal-title":"Arthroscopy"},{"issue":"2","key":"484_CR25","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1016\/j.arthro.2003.11.042","volume":"20","author":"IK Lo","year":"2004","unstructured":"Lo IK, Burkhart SS: Transtendon arthroscopic repair of partial-thickness, articular surface tears of the rotator cuff. Arthroscopy. 2004, 20 (2): 214-220.","journal-title":"Arthroscopy"},{"key":"484_CR26","volume-title":"J Shoulder Elbow Surg","author":"MC Park","year":"2007","unstructured":"Park MC, Tibone JE, Elattrache NS, Ahmad CS, Jun BJ, Lee TQ: Part II: Biomechanical assessment for a footprint-restoring transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique. J Shoulder Elbow Surg. 2007"},{"issue":"12","key":"484_CR27","doi-asserted-by":"publisher","first-page":"1360 e1","DOI":"10.1016\/j.arthro.2006.07.017","volume":"22","author":"MC Park","year":"2006","unstructured":"Park MC, Elattrache NS, Ahmad CS, Tibone JE: \"Transosseous-equivalent\" rotator cuff repair technique. Arthroscopy. 2006, 22 (12): 1360 e1-5.","journal-title":"Arthroscopy"},{"issue":"4","key":"484_CR28","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1016\/j.jse.2006.09.010","volume":"16","author":"MC Park","year":"2007","unstructured":"Park MC, ElAttrache NS, Tibone JE, Ahmad CS, Jun BJ, Lee TQ: Part I: Footprint contact characteristics for a transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique. J Shoulder Elbow Surg. 2007, 16 (4): 461-468. 10.1016\/j.jse.2006.09.010.","journal-title":"J Shoulder Elbow Surg"},{"issue":"8","key":"484_CR29","doi-asserted-by":"publisher","first-page":"1254","DOI":"10.1177\/0363546507302218","volume":"35","author":"F Franceschi","year":"2007","unstructured":"Franceschi F, Ruzzini L, Longo UG, Martina FM, Zobel BB, Maffulli N, Denaro V: Equivalent clinical results of arthroscopic single-row and double-row suture anchor repair for rotator cuff tears: a randomized controlled trial. Am J Sports Med. 2007, 35 (8): 1254-1260. 10.1177\/0363546507302218.","journal-title":"Am J Sports Med"},{"issue":"6","key":"484_CR30","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1007\/s00167-006-0230-7","volume":"15","author":"KC Kim","year":"2007","unstructured":"Kim KC, Rhee KJ, Shin HD, Kim YM: Arthroscopic hybrid double-row rotator cuff repair. Knee Surg Sports Traumatol Arthrosc. 2007, 15 (6): 794-799. 10.1007\/s00167-006-0230-7.","journal-title":"Knee Surg Sports Traumatol Arthrosc"}],"container-title":["BMC Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2474-9-78.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1471-2474-9-78\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2474-9-78","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2474-9-78.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T01:10:38Z","timestamp":1630458638000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/1471-2474-9-78"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,6,4]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008,12]]}},"alternative-id":["484"],"URL":"https:\/\/doi.org\/10.1186\/1471-2474-9-78","relation":{},"ISSN":["1471-2474"],"issn-type":[{"value":"1471-2474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,6,4]]},"assertion":[{"value":"15 March 2008","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 June 2008","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 June 2008","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"78"}}