Biceps Tenodesis
In this procedure the LHB is detached from it's attachment in the shoulder and reattached to the humerus bone just below the shoulder. This procedure is more complex than a tenotomy , but avoids the risks of biceps discomfort, weakness and a 'popeye' appearance.
Tenodesis is preferable for more active people. Using modern fixation screws the repair is strong enough to move the arm early after surgery, without immobilisation.
The Procedure:1. The LHB tendon is released via the arthroscope:
arthroscopic scissors inserted via small pucture hole in skin and cutting the LHB (arthroscopic view on the right) 2. A small incision (5cm) is made over the front of the shoulder and the tendon retrieved through this hole:
 3. The tendon is fixed back into the bone of the humerus with a special interference screw:
Video of the procedure: Also Click Here
For more information see: - arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears: Clinical and radiographic results of 307 cases - The cosmetic appearance of the biceps muscle after long-head tenotomy versus tenodesis. - arthroscopic Release of the Long Head of the Biceps tendon - Long head biceps tenotomy versus tenodesis: A cadaveric biomechanical analysis - FUNCTIONAL SYMPTOMATOLOGY FOLLOWING BICEPS TENODESIS COMPARED TO BICEPS TENOTOMY OR RUPTURE
'key-hole' surgery. Surgery performed via small incisions, using special instruments and a viewing scope.. a structure (tissue) that attaches a muscle to a bone. When a tendon becomes inflamed, the condition is referred to as tendinitis or tendonitis.
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