Subpectoral Biceps Tenodesis with an All-Suture Anchor

Abstract

The long head of the biceps tendon (LHBT) is a common source of shoulder pain. Biceps tenodesis is a common strategy to address the LHBT. Subpectoral biceps tenodesis offers a unique advantage by removing all potentially diseased tissue from the bicipital groove, which may reduce the incidence of persistent pain. Furthermore, performing an in situ tenodesis may better restore the anatomic resting length and tension of the LHBT, thereby providing a more cosmetic result with a decreased likelihood of biceps cramping. All-suture anchors have recently been used for tenodesis fixation and benefit from a smaller osseous pilot hole, as well as, unicortical intramedullary fixation. Subpectoral biceps tenodesis offers reliable pain relief, high patient satisfaction rates, and low rates of complications.