Arthroscopic and Open Biceps Tenodesis Distal to the Intertubercular Groove

Abstract

Tendinitis of the long head of the biceps tendon is a common and debilitating condition of the shoulder. Arthroscopic techniques of tenodesis originally secured the tendon at a location proximal to the intertubercular groove in the head of the humerus. Although this eliminates the intra-articular portion of the long head of the biceps tendon as a potential generator of pain, it does not address the portion of the tendon that lies within the intertubercular groove. Recent evidence suggests that failure to address this portion of the tendon may predispose to continued pain and clinical failure of the surgical attempt to eliminate it. We present two surgical techniques for tenodesis of the long head of the biceps tendon distal to the intertubercular groove, one for arthroscopic and the other for open tenodesis. The video presentation accompanying this paper details the relevant anatomy, surgical approaches, and technical pearls for each of these techniques.

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