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Arthroscopic All-Inside Biceps Tenodesis via Suture-Anchor Fixation

March 01, 2020

Contributors: Kevin W Farmer, MD, FAAOS; Edward Haupt, MD; Kevin O'Keefe

Keywords: Impingement

The long head of the biceps tendon is a frequent cause of shoulder pain. Multiple techniques have been used for long head of the biceps tendon tenodesis and tenotomy. Our technique for suprapectoral, intra-articular suture-anchor fixation in the bicipital groove creates the smallest bone footprint of any fixation method; however, no previous studies that used a suture anchor for fixation included postoperative outcomes. This video demonstrates our technique for fixation and reviews outcome data. Patients were contacted via telephone and administered a standardized information sheet and questionnaire that contained the Simple Shoulder Test and the University of California–Los Angeles Shoulder Score. Twenty-seven patients who underwent intra-articular, bicipital groove biceps tenodesis during shoulder arthroscopy were reached via telephone survey (mean follow-up, 3.8 years). The mean University of California–Los Angeles Shoulder Score was 31.7 (standard deviation, 5.2), and the mean Simple Shoulder Test was 11.1 (standard deviation, 1.7). No biceps tenodesis failures were noted. Intra-articular long head of the biceps tendon tenodesis in the bicipital groove is associated with decreased surgical time and a decreased bone footprint. We did not observe the high rate of complications reported in previous studies.

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