Biceps tendon surgery

The long head of the biceps tendon runs from the shoulder joint down to the forearm. It can become inflamed, partially torn, or unstable within the bicipital groove of the humerus, causing anterior shoulder pain that may be mistaken for other shoulder conditions.

Conditions treated

• Long head of biceps tendinopathy (inflammation and degeneration)
• Biceps instability — subluxation from the bicipital groove
• Partial or full-thickness tears of the long head of biceps
• Biceps pathology coexisting with rotator cuff tears

Surgical options

Biceps tenotomy

Tenotomy involves simply releasing the biceps tendon from its upper attachment within the shoulder joint. It is a quick, effective procedure for relieving pain, particularly suitable for older or less active patients who are not concerned about a cosmetic bulge (Popeye sign) in the arm.

Biceps tenodesis

Tenodesis involves releasing the tendon from its shoulder attachment and re-securing it to the humerus at a lower point. This prevents the Popeye deformity and is preferred in younger, active patients or those for whom cosmesis is a priority.

Both procedures are typically performed arthroscopically and are often carried out alongside treatment of coexisting rotator cuff or shoulder conditions.