Simplified Proximal Biceps Tenodesis in Double-Row Fixation of Rotator Cuff Repair

The long head of the biceps is a common pain generator in the shoulder that is often managed surgically with tenotomy or tenodesis. Although the clinical outcomes after the 2 techniques are comparable, tenodesis is generally performed in relatively young and active patients to avoid tenotomy-related complications, such as cosmetic deformity, early fatigue, and cramping. This Technical Note describes a proximal biceps tenodesis coanchored with the anchor of the lateral row in rotator cuff repair. This tenodesis fixation is simple and cost-effective, with no need for additional anchors.