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Arthroscopic Suprapectoral Biceps Tenodesis Below the Groove: A Surgical Technique.

ABSTRACT: Despite the widespread use of biceps tenodesis, controversy remains surrounding the technique, including the choice between open and arthroscopic approaches, anchor site selection, and inlay versus onlay fixation. We present an arthroscopic technique that places the bony anchor for the long head of the biceps tendon below the bicipital groove with minimal soft tissue disruption, minimal risk for major postoperative complications, and comparable biomechanical outcomes to other techniques. Pearls, pitfalls, advantages, and disadvantages are discussed.

SUBMITTER: Zhou J 

PROVIDER: S-EPMC12420599 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature

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Arthroscopic Suprapectoral Biceps Tenodesis Below the Groove: A Surgical Technique.

Zhou Joanne J   Hussain Zaamin B ZB   Worden Jacob A JA   Vazquez Frank L FL   Gottschalk Michael B MB   Wagner Eric R ER  

Arthroscopy techniques 20250707 8

Despite the widespread use of biceps tenodesis, controversy remains surrounding the technique, including the choice between open and arthroscopic approaches, anchor site selection, and inlay versus onlay fixation. We present an arthroscopic technique that places the bony anchor for the long head of the biceps tendon below the bicipital groove with minimal soft tissue disruption, minimal risk for major postoperative complications, and comparable biomechanical outcomes to other techniques. Pearls,  ...[more]

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