Intra-articular Arthroscopic Tenodesis of the Long Head of the Biceps Using a Knotless Threaded Anchor: Surgical Technique

Main Article Content

Alejo López
Rufino C. Ruiz
Carlos Martínez
Rodrigo Pérez
Nahuel Acosta

Abstract

Introduction: Shoulder pain associated with pathologies of the long head of the biceps—such as tenosynovitis, SLAP lesions, instability (pulley lesions and dislocation), and tendon tears (partial or complete)—is common.
Objective: To describe, step by step, an intra-articular arthroscopic tenodesis of the long head of the biceps using a high-strength suture passed through the tendon with a Penetrator® suture passer and fixation with a 4.75-mm knotless threaded anchor.
Conclusion: This technique is simple, easy to learn, minimally invasive, and yields good postoperative outcomes.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
López, A., Ruiz, R. C., Martínez, C., Pérez, R., & Acosta , N. (2025). Intra-articular Arthroscopic Tenodesis of the Long Head of the Biceps Using a Knotless Threaded Anchor: Surgical Technique. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 90(4), 388-395. https://doi.org/10.15417/issn.1852-7434.2025.90.4.1956
Section
Nota técnica
Author Biographies

Alejo López, Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

Rufino C. Ruiz, Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

Carlos Martínez, Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

Rodrigo Pérez, Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

Nahuel Acosta , Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

References

1. Corpus KT, Garcia GH, Liu JN, Dines DM, O’Brien SJ, Dines JS, et al. Long head of biceps tendon management: A survey of the American shoulder and elbow surgeons. HSS J 2018;14(1):34-40.
https://doi.org/10.1007/s11420-017-9575-3

2. Khazzam M, George MS, Churchill RS, Kuhn JE. Disorders of the long head of biceps tendon. J Shoulder Elbow Surg 2012;21(1):136-45. https://doi.org/10.1016/j.jse.2011.07.016

3. Braun S, Horan MP, Elser F, Millett PJ. Lesions of the biceps pulley. Am J Sports Med 2011;39(4):790-5. https://doi.org/10.1177/0363546510393942

4. 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. https://doi.org/10.1016/j.arthro.2012.04.143

5. Elser F, Braun S, Dewing CB, Giphart JE, Millett PJ. Anatomy, function, injuries, and treatment
of the long head of thebbíceps brachii tendon. Arthroscopy 2011;27(4):581-92. https://doi.org/10.1016/j.arthro.2010.10.014

6. Bois AJ, Roulet S, Le Dû C, Neyton L, Godenèche A. The “double lasso-loop” technique used for arthroscopic proximal bíceps tenodesis. Arthrosc Tech 2019;8(3):e291-300. https://doi.org/10.1016/j.eats.2018.11.012

7. Aflatooni JO, Meeks BD, Froehle AW, Bonner KF. Biceps tenotomy versus tenodesis: patient-reported outcomes and satisfaction. J Orthop Surg Res 2020;15(1):56. https://doi.org/10.1186/s13018-020-1581-3

8. Lafosse T, Kopel L, Beckers J, Lafosse L. The 360 double lasso loop for biceps tenodesis: Tips and tricks. Arthrosc Tech 2021;10(8):e1889-95. https://doi.org/10.1016/j.eats.2021.04.012

9. Zhang Y, Wu M, Zhang Z, Xu H, Zhou Y, Liu J. An all-arthroscopic simple double 360° lasso loop technique for supraopectoral biceps tenodesis. Arthrosc Tech 2023;12(6):e795-800. https://doi.org/10.1016/j.eats.2023.02.008

10. Patiño JM, Cabrera ES. Tenodesis suprapectoral del bíceps. Resultados clínicos. Rev Asoc Argent Ortop Traumatol 2022;87(4):488-497. https://doi.org/10.15417/issn.1852-7434.2022.87.4.1526

11. Green JM, Getelman MH, Snyder SJ, Burns JP. All-arthroscopic suprapectoral versus open subpectoral tenodesis of the long head of the biceps brachii without the use of interference screws. Arthroscopy 2017;33(1):19-25. https://doi.org/10.1016/j.arthro.2016.07.007

12. Hurley ET, Lorentz NA, Colasanti CA, Campbell KA, Alaia MJ, Strauss EJ, et al. Open subpectoral biceps
tenodesis may be an alternative to arthroscopic repair for SLAP tears in patients under 30. Arthroscopy
2022;38(2):307-12. https://doi.org/10.1016/j.arthro.2021.07.028

13. Kim J, Nam JH, Kim Y, Kim JS, Kim SH. Long head of the biceps tendon tenotomy versus subpectoral tenodesis in rotator cuff repair. Clin Orthop Surg 2020;12(3):371. https://doi.org/10.4055/cios19168

14. Oh JH, Lee YH, Kim SH, Park JS, Seo HJ, Kim W, et al. Comparison of treatments for superior labrum–biceps complex lesions with concomitant rotator cuff repair: A prospective, randomized, comparative analysis of debridement, biceps tenotomy, and biceps tenodesis. Arthroscopy 2016;32(6):958-67.
https://doi.org/10.1016/j.arthro.2015.11.036

15. Diplock B, Hing W, Marks D. The long head of biceps at the shoulder: a scoping review. BMC Musculoskelet Disord 2023;24(1). https://doi.org/10.1186/s12891-023-06346-5

16. Lafosse L, Van Raebroeckx A, Brzoska R. A new technique to improve tissue grip: “the lasso-loop stitch”. Arthroscopy 2006;22(11):1246.e1-1246.e3. https://doi.org/10.1016/j.arthro.2006.05.021

Most read articles by the same author(s)