Biceps Tenodesis

Biceps tenodesis is a  surgical procedure that is performed for the treatment of biceps tendonitis of the shoulder.

Individuals with biceps tendon problems may have developed a SLAP tear or irritation and inflammation of the biceps tendon itself.

During a biceps tenodesis procedure the surgeon cuts the attachment of the biceps tendon to the labrum and then reattaches it to the humerus bone. By performing a biceps tenodesis, the pressure is thereby removed from the labrum or biceps tendon in the shoulder and a portion of the biceps tendon can then be surgically removed.

Arthroscopy

During arthroscopy, your doctor makes small incisions around your shoulder. He or she then inserts a small camera and miniature instruments through the incisions. This allows your doctor to assess the condition of the biceps tendon as well as other structures in the shoulder.

Repair

In many cases, the biceps tendon can be repaired and strengthened where it attaches to the shoulder socket (glenoid).

Biceps tenodesis

In some cases, the damaged section of the biceps is removed, and the remaining tendon is reattached to the upper arm bone (humerus). This procedure is called a biceps tenodesis. Removing the painful part of the biceps usually resolves symptoms and restores normal function.

Depending on your situation, your surgeon may choose to do this procedure arthroscopically or through an open incision.

Tenotomy

In severe cases, the long head of the biceps tendon may be so damaged that it is not possible to repair or tenodese it. Your surgeon may simply elect to release the damaged biceps tendon from its attachment. This is called a biceps tenotomy. This option is the least invasive, but may result in a Popeye bulge in the arm.

Surgical complications

Complications are rare with these types of arthroscopic procedures. Infection, bleeding, stiffness and other problems are much less common than open surgical procedures.