Dr Heckroodt Laubscher

Specialist Orthopaedic Shoulder Surgeon

Biceps Tenodesis / Tenotomy Surgery

This is often performed in combination with an arthroscopic rotator cuff repair. The long head of M.Biceps enters the glenohumeral joint at the rotator interval. Due to its close proximity to the acromion the long head of M. Biceps it is often also comprised. A degenerative biceps tendon may cause a lot of pain and is addressed by either just cutting the tendon (tenotomy) or cutting it and fixating the distal end to the proximal humerus (tenodesis). The decision on which to perform depends on various factors and is therefore individualised.

Procedure duration:
This usually adds an additional 15 to 20 minutes to the main procedure such as a rotator cuff repair or acromioplasty.

Post operative:
Immobilisation usually entails 2 weeks in a sling but is also influenced by any additional procedures that had to be performed.