All-Arthroscopic Anatomic Length-Tension Biceps Tenodesis With Unicortical Button
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Updated: Oct 29, 2025

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Justin Kyhos1, William Haselman1, Michael B Banffy1
1Cedars-Sinai Kerlan-Jobe Institute, Los Angeles, California, U.S.A.
Abstract:
The long head of the biceps tendon is a frequent cause of persistent anterior shoulder pain. Biceps tenodesis is a popular choice for surgical management of this pathology, with myriad approach and fixation variations described. We describe an all-arthroscopic suprapectoral biceps tenodesis in the anatomic length-tension relation using a unicortical button. This technique offers an alternative method that provides proper tendon fixation at anatomic length with minimized additional surgical morbidity and postoperative complications.
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