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Updated: Sep 25, 2025

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Single-Portal Proximal Biceps Tenodesis Using an All-Suture Anchor.

Malte Holschen¹, Benjamin Bockmann², Tobias L Schulte²

¹Orthopedic Practice Clinic (OPPK), Münster.

Arthroscopy Techniques

|May 2, 2022

Summary

Shoulder pain from the long head of the biceps tendon often requires surgical treatment. Biceps tenodesis, a procedure to reattach the biceps tendon, offers better outcomes than tenotomy, preserving muscle function and appearance.

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Area of Science:

Orthopedic Surgery
Sports Medicine
Shoulder Arthroscopy

Background:

The long head of the biceps tendon is a common source of shoulder pain.
Pathologies include SLAP lesions, pulley injuries, tears, and tendonitis.
Surgical intervention like tenotomy or tenodesis is often necessary during shoulder arthroscopy.

Purpose of the Study:

To present a novel single-portal technique for proximal biceps tenodesis.
To describe the use of an all-suture anchor for biceps tenodesis in the bicipital groove.

Main Methods:

A single-portal arthroscopic approach was utilized.
An all-suture anchor was employed for the tenodesis procedure.
The technique focused on proximal biceps tenodesis within the bicipital groove.

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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

Published on: December 10, 2021

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Last Updated: Sep 25, 2025

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair

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Published on: August 8, 2025

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

Published on: December 10, 2021

Main Results:

The described technique facilitates biceps tenodesis through a single portal.
This method aims to preserve biceps muscle tension, anatomy, and cosmesis.
It offers an alternative to tenotomy, potentially reducing persistent pain and revision rates.

Conclusions:

Proximal biceps tenodesis using a single-portal, all-suture anchor technique is feasible.
This approach may provide superior functional and cosmetic outcomes compared to tenotomy.
It represents a valuable option for managing long head of biceps pathologies during shoulder arthroscopy.