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Biceps Tenodesis: Open Subpectoral and Arthroscopic Technique

January 01, 2013

Contributors: Peter Nissen Chalmers, MD; Anthony A Romeo, MD; Nikhil N Verma, MD; Adam Blair Yanke, MD; Adam Blair Yanke, MD

Keywords: Bony Procedure

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

Treatment of biceps pathology_though a source of numerous publications_is still poorly understood. This stems partially from a lack of data on the etiology of pain generation. Additionally, techniques to treat bicipital pain have included tenotomy and tenodesis, which may involve osseous or soft tissue fixation. Failure due to recurrent pain has been described, and recent data suggests that leaving the biceps in the groove or not releasing the biceps sheath may increase the risk of failure. Therefore, we present two methods, both arthroscopic and open, to perform a biceps tenodesis that involves removing the long head of the biceps from the bicipital groove.

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