Arthroscopic Suprapectoral Biceps Tenodesis Techniques: Soft-Tissue and Bony Technique Options

The long head of the biceps often creates significant shoulder symptoms and is commonly treated using tenodesis if nonoperative management fails. Arthroscopic biceps tenodesis has grown in popularity because of the increasingly common use of the arthroscope to address shoulder pathology as well as the reduced risk of significant blood loss and wound and nerve complications compared with open subpectoral tenodesis. Numerous biceps tenodesis techniques have been published. The purpose of this Technical Note is to describe and demonstrate 4 different techniques commonly employed by the authors that provide secure tenodesis using both bony and soft-tissue approaches.