Shoulder | Biceps Tenodesis
The long head of the biceps tendon travels through the shoulder joint and can be a source of shoulder pain. Biceps tenodesis is a surgical procedure that removes the damaged portion of the tendon from its attachment inside the shoulder and secures it to the upper arm bone. By addressing these conditions, biceps tenodesis greatly improves shoulder function and reduces discomfort.
Dr. Aaron Schwartz utilizes the Loop ‘N’ Tack procedure. Loop ‘N’ Tack Tenodesis is a straightforward arthroscopic approach that provides substantial pain relief and improves shoulder function. This technique minimizes the potential for future cramping or cosmetic “Popeye” deformity.
Dr. Schwartz recommends this video, shared courtesy of medical device company Arthrex, to help patients understand and prepare for this treatment option.
An OrthoIllustrated® animation of Loop ‘N’ Tack Biceps Tenodesis.
Is Biceps Tenodesis Right for You?
Not every biceps tendon problem requires surgery. An orthopedic evaluation can determine whether physical therapy, injections, activity modification, biceps tenodesis in Portland, or another treatment is appropriate. Schedule an evaluation to discuss your biceps tendon or shoulder pain and treatment options.
Frequently Asked Questions About Biceps Tenodesis
Biceps tenodesis is a procedure used to treat problems involving the long head of the biceps tendon.
During the procedure, the damaged portion of the tendon is released from its attachment inside the shoulder and secured to the humerus. This removes the painful portion of the tendon while maintaining the function of the biceps muscle.
Biceps tenodesis may be recommended for persistent pain or damage involving the long head of the biceps tendon or the superior labrum, particularly when symptoms have not improved with nonsurgical treatment.
It may also be performed along with other shoulder procedures, including rotator cuff repair or labral surgery, when biceps pathology is contributing to the patient’s symptoms.
Both procedures address the long head of the biceps tendon.
With a biceps tenotomy, the damaged tendon is released and allowed to retract. With a biceps tenodesis, the tendon is released and then secured to the upper arm bone.
The choice depends on factors such as age, activity level, shoulder condition, cosmetic concerns, and the other procedures being performed.
Biceps tenodesis is commonly performed arthroscopically or through a small incision. The damaged portion of the tendon is released and secured to the humerus using an anchor or other fixation device.
The procedure is often combined with treatment of other shoulder problems when indicated.
Recovery is gradual. Patients typically will be in a sling for 3 weeks.
Physical therapy is used to restore shoulder motion and gradually rebuild strength. Many patients return to normal activities within 3-4 months, although full recovery can take longer when biceps tenodesis is performed with a rotator cuff repair or other major shoulder procedure.
Most patients can eventually return to resistance training, but heavy lifting and resisted elbow flexion are restricted during the initial healing period.
Your return to weight lifting should be gradual and guided by tendon healing, strength, and your rehabilitation progress.
Potential risks include infection, bleeding, nerve irritation or injury, stiffness, persistent pain, weakness, cosmetic changes, fixation failure, and re-tearing of the tendon.