BACKGROUND Primary and secondary lesions of the tendon of the long head of the biceps brachii are common, with no clear consensus about their optimal management. HYPOTHESIS There is no difference in outcomes of tenotomy and tenodesis for lesions of the tendon of the long head of the biceps brachii. STUDY DESIGN We performed a comprehensive quantitative review of the published English-langua...

Bicep tendon pathology often arises from chronic overuse injuries, acute trauma, or degenerative changes in the glenohumeral joint. These injuries can cause significant shoulder pain, and can greatly limit range of motion and, in turn, activities of daily living. The diagnosis of biceps pathologies can be challenging, because patients often present with nonspecific symptoms. Some bicep tendon p...

BACKGROUND Humeral fracture after subpectoral tenodesis of the long head of biceps tendon (LHB) is a rare but devastating complication. PURPOSE To determine whether malpositioned (laterally eccentric) tenodesis screw placement has an influence on humerus strength reduction compared with central placement. STUDY DESIGN Controlled laboratory study. METHODS Two groups, each consisting of 10 ...

PURPOSE The purpose of this study was to biomechanically evaluate a new technique of intramedullary cortical button fixation for subpectoral biceps tenodesis and to compare it with the interference screw technique. METHODS We compared intramedullary unicortical button fixation (BicepsButton; Arthrex, Naples, FL) with interference screw fixation (Bio-Tenodesis screw; Arthrex) for subpectoral b...

We describe an arthroscopic keyhole technique for proximal biceps tenodesis. The technique is safe, easy to reproduce, cost-effective, and less time consuming. It does not need any special instrumentation and is suitable especially for use in the developing countries. It enables examination of the biceps sheath and distal biceps tendon for unidentified tears, synovitis, and fibrosis.

A displaced Long Head of Biceps (LHB) tendon is commonly encountered in association with subscapularis rotator cuff tears. Management options for the displaced tendon consist of tenotomy, tenodesis or relocation with reconstruction of the biceps pulley. We present 16 patients in whom LHB relocation and reconstruction of the biceps pulley, was performed in association with subscapularis rotator ...

In this Technical Note, we describe a method of mini-open long head biceps subpectoral tenodesis. The implant used is a threadless expanding PEEK (polyether ether ketone) interference device that fixes the biceps tendon in a drill hole in the humerus under the inferior border of the pectoralis major tendon. The diameter of the drill hole varies between 6 and 8 mm depending on the width of the t...

Pathology involving the long head of the biceps tendon is a common and significant cause of shoulder pain. For active patients with refractory biceps tendinosis, tenodesis of the tendon to either soft tissue or the humerus is the preferred surgical treatment. Subpectoral biceps tenodesis to the humeral diaphysis with an interference screw has been gaining popularity as an effective method for t...

BACKGROUND Tenodesis of the long head of the biceps tendon is a common procedure used to alleviate pain caused by instability or inflammation of the tendon. The purpose of this study is to report on the incidence and types of complications following an open subpectoral biceps tenodesis (OBT) procedure. HYPOTHESIS Our hypothesis was that the rate of adverse events after OBT was low. METHODS ...