Arthroscopic High-in-the-Groove Biceps Tenodesis: Loop-and-Tack Technique

Arthroscopic biceps tenodesis is an effective treatment for patients with long head of the biceps tendon pathology. This technical note details a high-in-the-groove arthroscopic technique utilizing loop-and-tack fixation through a single cannula. This technique utilizes a spinal needle to create the "tack" portion of the construct, minimizing the risk of iatrogenic injury associated with the use of a BirdBeak or other sharp penetrating instrument. In addition, the biceps anchor remains intact during much of the technique, which allows for easier preservation of long head of the biceps tendon tension. Finally, it minimizes the use of additional cannulas and/or one-time use instruments, which may decrease the overall cost compared with other techniques.