Arthroscopic Suprapectoral Biceps Tenodesis Below the Groove: A Surgical Technique

Despite the widespread use of biceps tenodesis, controversy remains surrounding the technique, including the choice between open and arthroscopic approaches, anchor site selection, and inlay versus onlay fixation. We present an arthroscopic technique that places the bony anchor for the long head of the biceps tendon below the bicipital groove with minimal soft tissue disruption, minimal risk for major postoperative complications, and comparable biomechanical outcomes to other techniques. Pearls, pitfalls, advantages, and disadvantages are discussed.