Biceps Tendon Repair or Tenodesis

Biceps tendon repair or tenodesis are surgical procedures performed to address tears or ruptures of the biceps tendon at the shoulder. The biceps tendon has two heads: the long head and the short head. The long head is more commonly injured. Repair involves reattaching the torn tendon to its original insertion point. Tenodesis involves cutting the torn tendon and reattaching it to a different location on the humerus (upper arm bone).

Surgery may be recommended when:

Proximal Biceps Tendon Rupture: When there is a complete tear of the biceps tendon at the shoulder, especially in younger, active individuals.
Persistent Pain and Weakness: When conservative treatments (rest, physical therapy, pain medication) fail to alleviate persistent pain and weakness.
Significant Deformity: When there is a noticeable "Popeye" deformity (a bulge in the biceps muscle) due to a ruptured tendon.
SLAP Tears: When a biceps tendon tear is combined with a SLAP (Superior Labrum Anterior to Posterior) tear.

Biceps Tendon Repair: Reattaching the tendon to its original insertion point on the glenoid.
Biceps Tenodesis: Cutting the torn tendon and reattaching it to the humerus.
Arthroscopic or Open: These procedures can be done using Arthroscopic techniques or with a open incision.

Anesthesia: General or regional anesthesia is used.
Incisions: Small incisions for arthroscopic surgery, or a larger incision for open surgery.
Visualization: An arthroscope is used for arthroscopic surgery to visualize the joint.
Tendon Repair or Tenodesis: The torn tendon is repaired or reattached using sutures or anchors.
Closure: The incisions are closed with stitches or adhesive strips.

Sling: A sling is typically worn for several weeks.
Physical Therapy: Rehabilitation is crucial for regaining shoulder strength and range of motion.
Pain Management: Pain medication is prescribed as needed.
Activity Restrictions: Certain activities are restricted for several months.

This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.