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.
What is a 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 tenotomy is a less complex procedure than tenodesis and recovery time may be quicker compared to tenodesis since there is no need to reattach the tendon.
Some patients may experience a "Popeye deformity" where the detached muscle belly bunches up in the upper arm, leading to a cosmetic bulge. In some cases, patients may experience a mild loss of strength in certain arm movements, particularly when flexing the elbow against resistance
What is a biceps tenodesis?
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.”
While there might be some strength loss, overall arm function can be better preserved compared to tenotomy. Biceps tenodesis may involve additional steps compared to tenotomy. Recovery may take slightly longer due to the need for reattachment and healing.
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.