Biceps tenodesis and tenotomy are procedures that address painful conditions of the long head of the biceps tendon. Tenotomy releases the tendon while tenodesis reattaches it to a new location on the humerus.
Indicated for patients with biceps tendinitis, partial tears, or SLAP tears causing persistent anterior shoulder pain that has not improved with physical therapy or injections.
Both procedures are typically performed arthroscopically, often alongside rotator cuff or labral surgery. Tenotomy takes only minutes. Tenodesis requires fixation of the tendon to bone and takes slightly longer. A sling is worn for several weeks after tenodesis.
Risks include a cosmetic Popeye deformity with tenotomy, fixation failure with tenodesis, cramping, and infection. Your surgeon will discuss which option suits your activity level and goals.
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