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Peer-reviewedCC BY-NC-NDArthroscopy techniques

Arthroscopic “Triple‐Beam” Biologic Augmentation of Massive Rotator Cuff Tears Using the Combined Long Head of Biceps Transposition and Autologous Palmaris Longus Tendon Bridging

  • ChenKe Zhang1
  • ZunHan Liu1
  • MoLong Chen1
  • YunJiao Wang1
  • Guo Zheng1
  • Lin Ma1
  1. 1Department of Sports Medicine First Affiliated Hospital of Army Medical University Chongqing China
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Abstract

The management of massive rotator cuff tears remains a substantial clinical challenge. Standard superior capsular reconstruction often fails to adequately restore the dynamic load‐transfer mechanics of the shoulder. Furthermore, direct repair of chronic, retracted tears is frequently associated with excessive tension, resulting in high rates of suture cut‐through and structural failure. To overcome these limitations, we describe an arthroscopic biological reconstruction technique termed the “Triple‐Beam” procedure. This approach combines transposition of the long head of the biceps tendon with augmentation using an autologous palmaris longus tendon bridge. The construct employs the transposed long head of the biceps tendon together with the anterior and posterior limbs of the palmaris longus graft to form a robust 3‐beam structure secured to the greater tuberosity. This design is intended to provide both static superior restraints to prevent superior humeral migration and dynamic load distribution, thereby reducing tension at the repair interface. As a cost‐effective, autologous strategy, this technique aims to improve biological healing and biomechanical stability in the management of massive rotator cuff tears.

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Cite

BibTeXRIS
BibTeX
@article{zhang2026arthroscopic,
  title = {{Arthroscopic “Triple‐Beam” Biologic Augmentation of Massive Rotator Cuff Tears Using the Combined Long Head of Biceps Transposition and Autologous Palmaris Longus Tendon Bridging}},
  author = {ChenKe Zhang and ZunHan Liu and MoLong Chen and YunJiao Wang and Guo Zheng and Lin Ma},
  journal = {Arthroscopy techniques},
  year = {2026},
  month = oct,
  doi = {10.1002/atn2.70355},
  url = {https://europepmc.org/article/PMC/PMC13722084},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Arthroscopic “Triple‐Beam” Biologic Augmentation of Massive Rotator Cuff Tears Using the Combined Long Head of Biceps Transposition and Autologous Palmaris Longus Tendon Bridging
AU  - ChenKe Zhang
AU  - ZunHan Liu
AU  - MoLong Chen
AU  - YunJiao Wang
AU  - Guo Zheng
AU  - Lin Ma
PY  - 2026
DA  - 2026/10/30
JO  - Arthroscopy techniques
DO  - 10.1002/atn2.70355
UR  - https://europepmc.org/article/PMC/PMC13722084
AB  - The management of massive rotator cuff tears remains a substantial clinical challenge. Standard superior capsular reconstruction often fails to adequately restore the dynamic load‐transfer mechanics of the shoulder. Furthermore, direct repair of chronic, retracted tears is frequently associated with excessive tension, resulting in high rates of suture cut‐through and structural failure. To overcome these limitations, we describe an arthroscopic biological reconstruction technique termed the “Triple‐Beam” procedure. This approach combines transposition of the long head of the biceps tendon with augmentation using an autologous palmaris longus tendon bridge. The construct employs the transposed long head of the biceps tendon together with the anterior and posterior limbs of the palmaris longus graft to form a robust 3‐beam structure secured to the greater tuberosity. This design is intended to provide both static superior restraints to prevent superior humeral migration and dynamic load distribution, thereby reducing tension at the repair interface. As a cost‐effective, autologous strategy, this technique aims to improve biological healing and biomechanical stability in the management of massive rotator cuff tears.
SN  - 2212-6287
ER  -