Biceps tenodesis surgery is a procedure to remove the damaged section of the biceps tendon, a long cord-like structure which is located in the front of the shoulder, which may be causing pain or reduced range of motion. In the procedure, the biceps tendon is cut away from its normal attachment at the shoulder and reattached with a screw or staples to the upper arm bone.

Understanding the procedure

The procedure is typically done arthroscopically. During the procedure, the surgeon makes small incisions or cuts around the shoulder to insert a small camera and other surgical tools. This allows the doctor to check the joint for other related injuries, remove any damaged tendon, and release the remaining tendon from the shoulder. Then, through another small incision, reattaches it to the bone in the upper arm (humerus).

Indications for the procedure

Biceps tenodesis is performed commonly to treat significant pain and discomfort at the shoulder that is not responsive to other more conservative, non-surgical methods, such as physical therapy or anti-inflammatory medication. It is usually performed as a part of the larger shoulder surgery, such as a rotator cuff repair, but can also be performed as an isolated procedure. Patients who are above 40 years of age are most ideal candidates.