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Updated: Feb 14, 2026

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Arthroscopic biceps tenodesis.

Christopher S Ahmad1, Neal S ElAttrache

  • 1Center for Shoulder, Elbow and Sports Medicine, Department of Orthopaedic Surgery, Columbia University, 622 West 168th Street, PH 11th Floor, New York, NY, USA. csa4@columbia.edu

The Orthopedic Clinics of North America
|February 27, 2004
PubMed
Summary
This summary is machine-generated.

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Biceps tenodesis offers advantages over tenotomy for shoulder pain, preserving muscle function and appearance. Advancements in arthroscopic techniques enhance safety and effectiveness, though long-term outcomes require further study.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Arthroscopy

Background:

  • Proximal biceps tendon pathology is a common cause of shoulder pain.
  • Surgical options include biceps tenotomy and tenodesis.
  • Biceps tenodesis presents potential benefits over tenotomy.

Purpose of the Study:

  • To review the advantages of biceps tenodesis over tenotomy.
  • To discuss the evolution of arthroscopic tenodesis techniques.
  • To highlight the changing indications and need for long-term follow-up for biceps tenodesis.

Main Methods:

  • Review of current literature on biceps tenodesis and tenotomy.
  • Analysis of biomechanical and clinical advantages of tenodesis.
  • Discussion of recent advancements in arthroscopic tenodesis techniques.

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Main Results:

  • Biceps tenodesis may preserve muscle length-tension, prevent atrophy, and maintain strength.
  • Arthroscopic tenodesis offers improved fixation, technical ease, and reduced risks.
  • Indications for tenodesis are expanding with improved understanding and techniques.

Conclusions:

  • Biceps tenodesis is a viable and advantageous option for managing proximal biceps tendon pathology.
  • Advancements in arthroscopic techniques are making tenodesis more accessible and safer.
  • Further long-term studies are necessary to fully establish the outcomes of biceps tenodesis.