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Updated: May 15, 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
[Biceps tendon rupture in athletes. Diagnosis and management modalities. Report of three cases]
B Zenteno-Chávez1, H Arredondo-García, I Morales-Chaparro
1Clínica Cumbres, Hospital CIMA, Chihuahua, Chihuahua. zenteor@hotmail.com
Objective:
To help the orthopedic surgeon become familiar with this type of injuries in athletes; to mention the difficulty to perform the clinical and imaging diagnosis; to emphasize the diagnostic need of arthroscopy in the injury of the proximal or long tendon; to present the current treatment modalities and, in the distal injury, suggest the use of a single incision, as well as biodegradable material for fixation purposes.
Conclusions:
The diagnosis of biceps tendon injuries in athletes is mainly a clinical one, assisted by imaging; however, the arthroscopic confirmation of proximal injuries is essential. Current techniques for proximal tendon fixation are variable, but, same as in the distal aspect, early fixation with biodegradable screws is a biomechanically stable option and promotes the athlete's full rehabilitation.
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