Biceps tenodesis

Biceps tenodesis is a surgical procedure usually performed for the treatment of biceps tendonitis of the shoulder. Also, as an isolated procedure, but more often is part of a larger shoulder surgery such as a rotator cuff repair.

Anatomy – Biceps long head

The biceps tendon connects the biceps muscle to the bone. The tendon passes from the muscle, through the rotator cuff, into the shoulder joint, and attaches to the socket of the shoulder joint.

Patients with biceps tendon problems may have a detachment of the biceps tendon from the socket of the shoulder ( 'SLAP' lesion), or they may have inflammation and irritation of the biceps tendon itself

What is a biceps tenodesis?

A biceps tenodesis is a procedure that cuts the normal attachment of the biceps tendon on the shoulder socket and reattaches the tendon to the bone of the humerus. By performing a biceps tenodesis, the pressure of the biceps attachment is taken off the cartilage rim of the shoulder socket (the labrum), and a portion of the biceps tendon can be surgically removed.

Essentially a biceps tenodesis moves the attachment of the biceps tendon to a position that is out of the way of the shoulder joint.

Who is the suitable surgeon?

This surgery can be done in either open classic surgery or, in an arthroscopic technique. The arthroscopic biceps tenodesis surgery, is high in the shoulder learning curve arthroscopic techniques.

Nevertheless, the final outcome in arthroscopic technique is superior to the open one.