What is a Biceps Tenotomy and Tenodesis?
Biceps tenotomy and biceps tenodesis are two different surgical procedures performed on the biceps tendon in the shoulder. Both procedures are used to address certain conditions related to the biceps tendon, but they have distinct purposes and implications.
Biceps Tenotomy
Causes of a Biceps Tenotomy
- Severe biceps tendon tears that cannot be repaired.
- Long-standing chronic biceps tendonitis with significant degeneration.
Advantages of a Biceps Tenotomy
- Simplicity: Biceps tenotomy is a less complex procedure than tenodesis.
- Faster recovery: Recovery time may be quicker compared to tenodesis since there is no need to reattach the tendon.
Disadvantages of Biceps Tenotomy
- Cosmetic concerns: Some patients may experience a "Popeye deformity" where the detached muscle belly bunches up in the upper arm, leading to a cosmetic bulge.
- Potential weakness: In some cases, patients may experience a mild loss of strength in certain arm movements, particularly when flexing the elbow against resistance
What to Expect in an Biceps Tenotomy
Biceps tenotomy is a surgical procedure where the long head of the biceps tendon is completely severed from its attachment at the shoulder joint. This procedure is typically performed arthroscopically and is often chosen in cases where the biceps tendon is irreversibly damaged or in situations where preserving the tendon is not a priority.
Biceps Tenodesis
Causes for a Biceps Tenodesis
- Partial biceps tendon tears.
- Chronic biceps tendonitis that hasn't responded to conservative treatments.
- Biceps tendon instability or subluxation.
Advantages of Biceps Tenodesis:
- Cosmetic benefits: The procedure avoids the "Popeye deformity" as the biceps muscle remains attached and does not bunch up.
- Preservation of some functions: While there might be some strength loss, overall arm function can be better preserved compared to tenotomy.
Disadvantages of Biceps Tenodesis:
- Slightly more complex: Biceps tenodesis may involve additional steps compared to tenotomy.
- Longer recovery time: Recovery may take slightly longer due to the need for reattachment and healing.
What Does Biceps Tenodesis Surgery Entail?
Biceps tenodesis is a surgical procedure that involves reattaching the biceps tendon to a different location on the humerus (upper arm bone). This is usually done to address biceps tendon issues while preserving some of its functions and preventing the "Popeye deformity."
Which Procedure is Right for Me?
The decision between biceps tenotomy and biceps tenodesis depends on various factors, including the patient's age, activity level, the condition of the biceps tendon, and the surgeon's judgment. It's essential for patients to have a thorough discussion with their orthopedic surgeon to understand the benefits, risks, and expected outcomes of each procedure before making a decision.
Ask your primary care doctor for a referral to an orthopaedic surgeon, or book an appointment online.