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Updated: May 22, 2026

Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
Published on: March 6, 2026
Failure of biceps tenodesis with interference screw fixation.
Benjamin Shay Koch1, Robert T Burks
1University of Utah Orthopaedic Center, Salt Lake City, Utah84108 , USA. shaykoch@hotmail.com
Arthroscopic biceps tenodesis using interference screws can fail. This case series reports 3 instances of failure, highlighting the need for further investigation into clinical complications.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Surgery
Background:
- Biceps tenodesis is a common surgical treatment for long head biceps tendon issues.
- Existing research often focuses on biomechanics, with limited data on clinical failures.
- Interference screw fixation is a widely used technique for arthroscopic biceps tenodesis.
Observation:
- This study presents a case series of 3 patients.
- All patients underwent arthroscopic biceps tenodesis with an interference screw.
- These patients experienced clinical failures following the procedure.
Findings:
- The case series details complications and failures associated with arthroscopic biceps tenodesis.
- Specific failure modes related to interference screw fixation are discussed.
- This highlights potential risks not fully captured in biomechanical studies.
Implications:
- The findings suggest a need for careful patient selection and technique optimization.
- Further research is warranted to understand and mitigate failure risks.
- This information is crucial for surgeons performing biceps tenodesis.
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