The biceps tendon is a muscle that runs from the shoulder to the elbow. It helps to flex the elbow and supinate the forearm (turn the palm up). A biceps tenodesis is a surgical procedure to attach the biceps tendon to a different location. This is done to relieve pain and improve function in the shoulder.

Biceps tenodesis is usually performed for patients with chronic biceps tendinopathy, which is a condition that causes pain and inflammation in the biceps tendon. Tendinopathy can be caused by overuse, repetitive motion, or trauma. Biceps tenodesis can also be performed for patients with a biceps tear, instability, inflammation, or superior labral tears, among other things.

There are two main types of biceps tenodesis: open and arthroscopic. Open biceps tenodesis is the traditional method of performing the procedure. It involves making a small incision in the front of the shoulder. Arthroscopic biceps tenodesis is a newer, less invasive method of performing the procedure. It involves making small incisions in the shoulder and using a camera to view the inside of the joint.

During surgery, we detach the biceps tendon from its normal origin to the shoulder. We then remove the pathologic area and reattach the tendon to a different location lower on the humerus. This maintains biceps function but gets rid of the troublesome symptoms.

Biceps tenodesis is a safe and effective procedure. It can provide relief from pain and improve function in the shoulder. The procedure usually takes about 1 hour to perform and patients typically go home the same day.

Risks and Complications

As with any surgery, there are some risks associated with biceps tenodesis. These risks include:

• Infection

• Bleeding

• Nerve damage

• Thrombosis

• Reaction to anesthesia

Recovery

Recovery from biceps tenodesis is usually relatively quick. Physical therapy will help to improve range of motion and strength in the shoulder.

Most patients are able to return to their normal activities within 10-12 weeks after surgery. However, it is important to listen to your body and not push yourself too hard during recovery.

If you are experiencing pain, swelling, or decreased range of motion in your shoulder, talk to us about whether biceps tenodesis may be right for you.