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Arthroscopic Biceps Tenodesis With Interference Screw Fixation: A Technique Video.

Brian Forsythe¹, Vahram Gamsarian¹, Harsh H Patel²

¹Midwest Orthopaedics at Rush, Chicago, Illinois, USA.

Video Journal of Sports Medicine

|May 1, 2025

Summary

Arthroscopic suprapectoral biceps tenodesis (ASPBT) with interference screw (IS) fixation offers a minimally invasive option for long head of the biceps tendon (LHBT) pathology. This technique provides significant pain relief and functional improvements for patients.

Keywords:

arthroscopic biceps tenodesis interference screw long head of the biceps tendon shoulder arthroscopy

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Area of Science:

Orthopedic Surgery
Sports Medicine
Arthroscopy

Background:

Management of long head of the biceps tendon (LHBT) pathology involves biceps tenotomy or tenodesis.
Biceps tenodesis may offer superior cosmesis, functional outcomes, and reduced postoperative muscle cramping compared to tenotomy.
Arthroscopic suprapectoral biceps tenodesis (ASPBT) with interference screw (IS) fixation is a minimally invasive alternative to open procedures.

Purpose of the Study:

To describe the indications and technique for ASPBT with IS fixation.
To highlight the clinical outcomes associated with this procedure.

Main Methods:

The procedure involves arthroscopic visualization, mobilization of the LHBT, and preparation of a socket in the bicipital groove.
The LHBT is secured into the prepared socket using an interference screw for fixation.
The technique is indicated for various LHBT pathologies, excluding distal tears below the pectoralis major tendon.

Main Results:

ASPBT with IS fixation leads to significant pain relief.
Patients experience improved range of motion (ROM) postoperatively.
The procedure enhances overall quality of life for individuals with LHBT pathology.

Conclusions:

ASPBT with IS fixation is an effective treatment for LHBT pathology.
The technique demonstrates significant improvements in patient-reported and functional outcomes.
This minimally invasive approach offers a viable option for managing complex biceps tendon issues.