The tenodesis may be performed alone or as part of a larger procedure on the shoulder. A tendon attaches muscle to bone. Your biceps tendons attach the biceps muscle of your upper arm to the elbow on one end and to the shoulder on the other. On the shoulder end, the biceps tendon divides into two strands, known as the long head and the short head.
The most common type of biceps tendon injury is in the long head biceps tendon sometimes abbreviated as LHB. Biceps tendon tears may happen quickly from a traumatic injury or develop over time from repetitive motions of the shoulder.
Many people with a biceps tendon tear can still function well. They may only need simple treatments, like icing, aspirin or ibuprofen Advil , and rest. Physical therapy and cortisone injections may also help. Your doctor can perform a number of different manipulations of your arm and shoulder to help determine how severe your injury is.
A biceps tenodesis is often done along with other shoulder surgery. This may include treatment of a labral tear SLAP or rotator cuff surgery. These procedures involve repair to the tendons or fibrocartilage that hold the upper arm into the shoulder.
For three days before biceps tenodesis surgery, you must not take any aspirin or nonsteroidal anti-inflammatories , such as ibuprofen Advil and naproxen Aleve. Your doctor will inform you of any other special procedures you should follow. The long head of the biceps tendon attaches to the top of the shoulder socket, known as the glenoid. During a biceps tenodesis procedure, a surgeon inserts a special type of screw or anchoring device into the upper part of the humerus the upper arm bone.
Seung Jin Yi, M. Bagen, Tara K. Baker, Christopher E. Bernasek, Thomas L. Bolos, Youstina I. Chaudhry, Faisal A. Cronin, Kevin J. Doarn, Michael C. Donohue, David M. Epting, Timothy C. Frankle, Mark A. Garcia, Michael J, M. Garlick, Grant G, M.
Gasser, Seth I, M. Grayson, Christopher W, M. Gustke, Kenneth A, M. Hess, Alfred V. Infante, Jr. Jackson, Howard B, M. Kannen, Jeffrey T. Kumar, Neil S. Loewy, Evan M. Lopez, Peter V. Lyons, Steven T, M. Maxson, Benjamin J, D. Mighell, Mark A, M. Mir, Hassan R, M. Miranda, Michael A, D. Morse, Adam C, D. Nydick, Jason A, D. Tendon issues in the shoulders often occur in athletes. The goal of surgery is to relieve shoulder pain associated with inflammation and tendon wear due to injury, overuse, or aging.
The procedure can be performed as a stand-alone procedure or as a part of more complex shoulder surgery. You may be a candidate for a shoulder biceps tenodesis if you have significant biceps tendon symptoms and inflammation and nonsurgical therapies, such as rest, medications, physical therapy, and cortisone injections have not provided relief. In many cases, your orthopedic surgeon will recommend a bicep tenodesis in conjunction with other shoulder surgery such as rotator cuff surgery.
Risks associated with Shoulder Biceps Tenodesis Tendon Surgery While complications associated with biceps tenodesis surgery are not common, they can occur. Complications may include: Infection Bleeding Reaction to anesthesia If you are having larger shoulder surgery, you may experience: Nerve damage surrounding the shoulder Frozen shoulder Cartilage damage in the shoulder joint Preparation for Shoulder Biceps Tenodesis Tendon Surgery Your care team will outline what you need to do to prepare for surgery, including: Do not eat or drink anything within eight hours of your surgery.
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Table of Contents. Biceps Tendon Tears. Biceps Tenodesis. Who Needs a Biceps Tenodesis? Are There Alternatives? Tenotomy or Tenodesis? Recovery From Surgery.
Surgical Options for Rotator Cuff Repair. Was this page helpful? Thanks for your feedback!
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