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Related Experiment Video

Updated: Apr 19, 2026

Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears

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Trends in long head biceps tenodesis.

Brian C Werner1, Stephen F Brockmeier1, F Winston Gwathmey2

  • 1Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia, USA.

The American Journal of Sports Medicine
|December 16, 2014
PubMed
Summary

Biceps tenodesis procedures increased significantly from 2008-2011, with arthroscopic techniques becoming more popular. Associated costs also rose, with notable regional differences in procedure rates.

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Area of Science:

  • Orthopedic Surgery
  • Surgical Trends
  • Epidemiology

Background:

  • Biceps tenodesis is a common surgical option for biceps tendon issues.
  • Previous studies have not detailed surgeon practice patterns in the U.S.

Purpose of the Study:

  • To analyze trends in arthroscopic and open biceps tenodesis.
  • To examine variations by time, patient demographics, and U.S. region.
  • To assess associated healthcare charges.

Main Methods:

  • Descriptive epidemiological study using the PearlDiver Patient Record Database (2008-2011).
  • Included private-payer and Medicare data for biceps tenodesis (CPT codes 23430, 29828).
  • Analyzed procedural volumes, demographics, diagnoses (ICD-9), concomitant procedures (CPT), and charges using statistical comparisons.
Keywords:
arthroscopic tenodesislong head bicepsopen tenodesisprocedure chargeregional analysistenodesis

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Main Results:

  • Total procedures increased 1.7-fold (8178 to 14,014 per 100,000 patients) from 2008-2011.
  • Higher incidence noted in patients aged 60-69 and 20-29 years.
  • Arthroscopic tenodesis charges increased significantly more than open procedures; common diagnoses included rotator cuff tears and bicipital tenosynovitis.

Conclusions:

  • Biceps tenodesis incidence rose annually from 2008-2011.
  • Arthroscopic tenodesis gained popularity over open procedures.
  • Procedure costs increased significantly, with regional variations observed.