Tenodesis of long biceps tendon in it’s pathology


  • Maksim Golovakha
  • Igor Shishka
  • Ivan Zabielin




long head of the biceps, tenodesis, method of fixation


One of the causes of pain and dysfunction of the shoulder joint may be inflammation or injury of intraarticular or extraarticular part of long head of the biceps (LHB). Different versions ofLHB pathology are the indication for surgical treatment, namely to tenodesis or tenotomy of LHB. There are many methods and locations for LHB tendon fixation, but consensus on their use is absent.

Objective: To determine the best method and location for LHB fixation taking into considerations types of it’s pathology.

Methods: A retrospective analysis of treatment in 37 patients (26 men, 11 women from 18 to 79 years) with various types of LHB tendon pathology in the period from 2009 to 2015.In the preoperative period, in all patients clinical loading provocative Speed, O'Brien, Yergasson test provided, humeral joint radiography and MRI studies performed. Options for surgical treatment were: tenotomy, tenodesis with anchor fixation, tenodesis with interferential screws, subpectoral fixation using Endobutton system and subpectoral tenodesiswith transposal fixation.

Results: performing choice of surgical treatment in biceps pathology, besides the morphology of LHB tendon injury, one must take into consideration the patient’s age, level of physical activity and work, and the associated pathology of humeral joint. Application of biceps tenotomy in patients older than 50 years with low physical activity and non intensive the labor activity allows to reduce the operation time, intraoperative injury and to get good results without significant reduction in functional outcomes. Application of subpectoral tenodesis of LHB tendon with Endobutton system and transossal fixation results in the best functional outcome.


Dokolin SY, Kuzmina VI, Bazarov IS, Kislitsyn MA. Arthroscopic correction of complex lesions, «the tendon of the long head of the biceps-articular lip» in the treatment of patients with shoulder rotator cuff tears. Traumatology and orthopedics Russia. 2013;1(67):19–27.

Denard PJ, Dai X, Hanypsiak BT, Burkhart SS. Anatomy of the biceps tendon: implications for restoring physiological length-tension relation during biceps tenodesis with interference screw fixation. Arthroscopy. 2012;28(10):1352–8. doi: 10.1016/j.arthro.2012.04.143.

Sampatacos N, Gillette BP, Snyder SJ, Henninger HB. Biomechanics of a novel technique for suprapectoral intraosseous biceps tenodesis Jornal of shoulder an elbow surgery. 2016;25(1):149–57. doi: 10.1016/j.jse.2015.07.017

Mazzocca AD, Cote MP, Arciero CL, Romeo AA, Arciero RA. Clinical outcomes after subpectoral biceps tenodesis with an interference screw. Am J Sports Med. 2008;36(10):1922–9. doi: 10.1177/0363546508318192.

Kane P, Hsaio P, Tucker B, Freedman KB Open subpectoral biceps tenodesis: reliable treatment for all biceps tendon pathology. Orthopedics. 2015;38(1):37–41. doi: 10.3928/01477447-20150105-04.

Mazzocca AD, Bicos J, Santangelo S, Romeo AA, Arciero RA. The biomechanical evaluation of four fixation techniques for proximal biceps tenodesis. Arthroscopy. 2005;21:1296–1306.

How to Cite

Golovakha, M., Shishka, I., & Zabielin, I. (2016). Tenodesis of long biceps tendon in it’s pathology. ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS, (2), 65–69. https://doi.org/10.15674/0030-59872016265-69




Most read articles by the same author(s)

1 2 3 4 5 6 > >>