Biceps Tenodesis

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“The team at JIS is the best! My rotator cuff repair scars are almost impossible to see. They guided me and kept me on the right track throughout my long recovery. The staff at the office are awesome!!! Simply the best!” — Susan R. 

Biceps tenodesis is a surgical procedure used to treat issues related to the biceps tendon, a critical structure that connects the bicep muscle to the shoulder joint and upper arm. When the biceps tendon becomes damaged or torn, it can lead to significant shoulder pain and reduced mobility, making everyday tasks difficult. 

If you’re dealing with shoulder pain or a torn biceps tendon, JIS Orthopedics in New Albany and St. Clairsville, Ohio, offers expert care to help you get back to a pain-free life. Call us today to schedule a consultation!

Why is Biceps Tenodesis Performed?

Biceps tenodesis is performed to repair or remove a damaged portion of the biceps tendon when other treatments, like physical therapy or medications, fail to provide relief. 

The most common reason for the procedure is due to degeneration of the biceps tendon and/or inflammation surrounding the biceps within the shoulder joint. Other conditions, like shoulder impingement, rotator cuff tears, or inflammation within the shoulder joint, may also damage the bicep tendon, requiring surgical intervention.

By anchoring the biceps tendon to the upper arm bone (humerus), the surgery alleviates shoulder pain, stabilizes the tendon, and helps restore function to the biceps muscle.

Candidates for Biceps Tenodesis Surgery

Not every shoulder injury requires tenodesis surgery. Good candidates for this procedure typically include:

  • Patients with persistent shoulder pain that hasn’t improved with non-surgical treatments
  • Those with bicep tendon issues combined with other shoulder injuries, like rotator cuff tears
  • Possibly those with a recent long head of biceps tear
  • Athletes or active individuals who need a stable, functional shoulder for sports or physical work
 

A consultation with a shoulder specialist can determine whether biceps tenodesis is the right option for your injury.

How to Prepare for Biceps Tenodesis Surgery

Preparation for biceps tenodesis begins with a thorough medical evaluation. Your surgeon will review your medical history, perform a physical examination, and possibly order imaging studies, like an MRI or X-rays, to assess the extent of the tendon damage.

In the days leading up to surgery, patients are often advised to stop certain medications, like blood thinners, to reduce the risk of bleeding. Your surgeon will also provide specific pre-operative instructions, including fasting before surgery and arranging transportation, as you won’t be able to drive after the procedure.

What Happens During Biceps Tenodesis Surgery?

Biceps tenodesis is typically performed either arthroscopically or with a small incision along the front of the arm. 

The damaged portion of the bicep tendon is then detached from its original position in the shoulder socket. Afterward, the surgeon reattaches the tendon to the humerus, securing it with anchors, suture, and/or screws.

The surgery usually takes about one hour depending on if any additional procedures are also done and can be done on an outpatient basis, meaning patients return home the same day.

Possible Risks of the Procedure

Like all surgeries, the biceps tenodesis procedure carries certain risks, though complications are rare. Potential risks include:

  • Infection
  • Nerve injury
  • Blood clots
  • Loss of strength in the biceps muscle
  • Re-rupture of the tendon
  • Post-surgical stiffness or limited range of motion in the shoulder
 

Your surgeon will discuss these risks with you before the procedure and take measures to minimize complications.

Recovery After Biceps Tenodesis

Recovery from biceps tenodesis surgery involves a combination of rest, physical therapy, and gradually resuming normal activities. Immediately following the procedure, your arm will be placed in a sling to protect the repair. Most patients can expect to wear the sling for several weeks.

Physical therapy is an essential part of the recovery process. Exercises to improve shoulder mobility and strengthen the surrounding muscles will begin a few weeks post-surgery. Full recovery typically takes four to six months, depending on the extent of the original injury and your body’s healing process. Following your surgeon’s rehabilitation plan is crucial for optimal outcomes.

Ready to Get Back to Life Without Shoulder Pain?

If you’re suffering from persistent shoulder pain or a torn biceps tendon, biceps tenodesis surgery may be the solution you need. 

At JIS Orthopedics, we specialize in advanced shoulder treatments to help you regain function and live pain-free. Contact us today to schedule a consultation!

Medically reviewed by Dr. Nicholas Walla

Get Mobile Again

If you are experiencing pain in your shoulder and suspect you have a rotator cuff tear, schedule an appointment with JIS Orthopedics today. We have offices conveniently located in New Albany and St. Clairsville, OH. Our orthopedic surgeons can give you peace of mind by providing you with an accurate diagnosis of your shoulder pain.

 

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