Biceps Tenodesis
Biceps Tenodesis - Related Videos
07:22
Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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Cited by 1 •
2025
Massive irreparable rotator cuff tears (MIRCTs) pose significant clinical challenges due to their complex pathology and limited treatment options. This study introduces whole rotator cable reconstruction (WRCR) using proximal biceps tendon autograft as a novel surgical technique for MIRCTs.
05:25
Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
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2026
This is a technical note describing a cost-efficient, knotless, independent, double-row rotator cuff repair for medium to large anterosuperior rotator cuff tears with simultaneous biceps augmentation and subscapularis repair.
07:10
Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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2026
We propose a technical modification for capsular reconstruction that utilizes arthroscopic rerouting and fixation of the long head of the biceps tendon to enhance the repair of massive irreparable rotator cuff tears.
06:41
A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears
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2026
This protocol presents an optimized rotator cuff repair technique that combines the medial knot-tying suture-bridge repair with a rip-stop configuration, designed to enhance cuff healing and minimize the risk of retear.
10:10
Reverse Total Shoulder Arthroplasty
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Cited by 5 •
2011
Reverse total shoulder arthroplasty is indicated for the treatment of conditions that cannot be treated with conventional arthroplasty or other procedures. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss of the normal biomechanical coupling of the shoulder.
FAQs
Maintaining the muscle’s length and tension helps preserve biceps strength and the normal contour of the upper arm after the diseased tendon segment is addressed. This distinguishes the procedure from simply removing the tendon attachment. The approach is intended to relieve symptoms while retaining important muscular function and reducing the likelihood of a visible change in arm shape.
Fixing the tendon to the humerus relocates it away from its diseased attachment near the superior labrum. As a result, the damaged portion is removed from the shoulder joint, which can reduce irritation associated with long head biceps tendon disease. This mechanical change targets anterior shoulder pain while maintaining continuity between the tendon and muscle.
The two approaches differ mainly in how the surgeon reaches and secures the tendon. Arthroscopic tenodesis uses shoulder arthroscopy, whereas open tenodesis uses a small incision. Both can accomplish the same essential objective of relocating the tendon to the humerus, so the selected approach may depend on the overall shoulder pathology and the procedures performed at the same operation.
Biceps tenodesis may accompany treatment of rotator cuff tears or labral injuries when those conditions contribute to the patient’s shoulder dysfunction. Addressing related pathology during the same surgical episode allows the operative plan to target more than the biceps tendon alone. This combined strategy is relevant when symptoms reflect multiple interacting abnormalities within the shoulder.
The technique may be considered when disease of the long head of the biceps tendon produces pain or dysfunction, including tendinopathy and selected superior labral lesions. The decision is condition-specific rather than automatic for every shoulder complaint. Surgeons evaluate whether relocating the tendon can address the symptomatic pathology while preserving biceps strength, contour, and muscle tension.
The intended outcomes include reduced anterior shoulder pain, preservation of biceps strength, and maintenance of the upper-arm contour. By securing the tendon while retaining muscle length and tension, the procedure also supports functional recovery. Actual results depend on the underlying tendon or labral disease and whether additional shoulder injuries require treatment during the operation.
The long head of the biceps tendon has an attachment near the superior labrum and can be involved in shoulder pain, tendinopathy, or selected superior labral lesions. Its location connects biceps-related disease with broader shoulder pathology, including rotator cuff and labral injuries. Understanding this relationship helps place tenodesis within the wider surgical management of shoulder dysfunction.