Biceps Tenodesis

Procedures

Biceps Tenodesis

Overview

Biceps tenodesis is a surgical procedure performed to address conditions involving the biceps tendon, particularly when it causes pain or dysfunction in the shoulder. The biceps tendon attaches the biceps muscle to the shoulder and can become irritated, inflamed, or torn due to overuse, injury, or degeneration.

What is Biceps Tenodesis?

During biceps tenodesis, the surgeon detaches the problematic portion of the biceps tendon from its attachment point in the shoulder and reattaches it to the upper arm bone (humerus). This relieves pain by removing the damaged tendon portion from the shoulder joint while preserving the biceps muscle's function.

Conditions Treated with Biceps Tenodesis

  • Biceps tendinitis or tendinosis

  • Partial biceps tendon tears

  • SLAP (Superior Labrum Anterior to Posterior) tears

The Procedure

Biceps tenodesis is typically performed arthroscopically or through a small open incision. The surgeon identifies and releases the damaged portion of the tendon, drills a small hole in the humerus, and secures the tendon using an anchor or screw. The procedure is often combined with other shoulder surgeries, such as rotator cuff repair.

Advantages of Biceps Tenodesis

  • Pain Relief: Reduces or eliminates pain caused by biceps tendon pathology.

  • Preserved Muscle Function: Maintains the cosmetic appearance and strength of the biceps.

  • Minimally Invasive: Allows for faster recovery compared to traditional open procedures.

Recovery Process

Post-operative recovery typically involves wearing a sling for a few weeks to protect the tendon. Physical therapy focuses on gradually restoring shoulder motion, strength, and function. Most patients can return to normal daily activities within 6-8 weeks and resume sports or heavy lifting after 3-4 months, depending on individual progress.

Risks and Considerations

While biceps tenodesis is generally safe, potential risks include infection, stiffness, persistent pain, and tendon re-rupture. Strict adherence to rehabilitation protocols helps minimize these risks.

Conclusion

Biceps tenodesis is an effective procedure for patients experiencing shoulder pain due to biceps tendon pathology. If you are dealing with shoulder discomfort and believe the biceps tendon might be the cause, contact our office for a thorough evaluation and personalized treatment plan.