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Management of Failed Shoulder Surgery pp 73–84Cite as

Biceps Disorders: When and How to Operate

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Abstract

Traditionally, the long head of the biceps tendon (LHBT) and the labrum have been viewed as two separate entities. However, these entities are now considered to be an interdependent complex. The biceps-labral complex (BLC) describes an anatomical and biomechanical complex. The BLC consists of three zones: the inside contains the glenoid labrum and its attachment to the LHBT, the so-called biceps anchor; the junction includes the part of the tendon crossing the articular margin to the bicipital groove and its stabilizing system, the biceps pulley; and the third zone consists of the extra-articular part of the LHBT, from the articular boundary to its musculotendinous transition and the biceps tunnel.

There are a variety of different surgical techniques to treat the pathologies of the BLC. These include SLAP repair, debridement, tenotomy, and tenodesis. The amount of new literature reflects the ongoing pursuit of the optimal surgical solution. This chapter aims to give an overview of the anatomy, common BLC pathologies, and current literature and to describe our evidence-based surgical algorithms.

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References

  1. Cooper DE, et al. Anatomy, histology, and vascularity of the glenoid labrum. An anatomical study. J Bone Joint Surg Am. 1992;74(1):46–52.

    Article  CAS  PubMed  Google Scholar 

  2. Ide J, Maeda S, Takagi K. Normal variations of the glenohumeral ligament complex: an anatomic study for arthroscopic Bankart repair. Arthroscopy. 2004;20(2):164–8.

    Article  PubMed  Google Scholar 

  3. Ilahi OA, Labbe MR, Cosculluela P. Variants of the anterosuperior glenoid labrum and associated pathology. Arthroscopy. 2002;18(8):882–6.

    Article  PubMed  Google Scholar 

  4. Pfahler M, et al. Age-related changes of the glenoid labrum in normal shoulders. J Shoulder Elb Surg. 2003;12(1):40–52.

    Article  CAS  Google Scholar 

  5. Williams MM, Snyder SJ, Buford D Jr. The Buford complex--the “cord-like” middle glenohumeral ligament and absent anterosuperior labrum complex: a normal anatomic capsulolabral variant. Arthroscopy. 1994;10(3):241–7.

    Article  CAS  PubMed  Google Scholar 

  6. Williams MM, Snyder SJ. A sublabral foramen must not be confused with a Bankart lesion. Arthroscopy. 1994;10(5):586.

    Article  CAS  PubMed  Google Scholar 

  7. Taylor SA, O’Brien SJ. Clinically relevant anatomy and biomechanics of the proximal biceps. Clin Sports Med. 2016;35(1):1–18.

    Article  CAS  PubMed  Google Scholar 

  8. Vangsness CT Jr, et al. The origin of the long head of the biceps from the scapula and glenoid labrum. An anatomical study of 100 shoulders. J Bone Joint Surg Br. 1994;76(6):951–4.

    Article  PubMed  Google Scholar 

  9. Pal GP, Bhatt RH, Patel VS. Relationship between the tendon of the long head of biceps brachii and the glenoidal labrum in humans. Anat Rec. 1991;229(2):278–80.

    Article  CAS  PubMed  Google Scholar 

  10. Kim KC, Rhee KJ, Shin HD. A long head of the biceps tendon confluent with the intra-articular rotator cuff: arthroscopic and MR arthrographic findings. Arch Orthop Trauma Surg. 2009;129(3):311–4.

    Article  PubMed  Google Scholar 

  11. Kim KC, et al. Biceps long head tendon revisited: a case report of split tendon arising from single origin. Arch Orthop Trauma Surg. 2008;128(5):495–8.

    Article  PubMed  Google Scholar 

  12. Warner JJ, Paletta GA, Warren RF. Accessory head of the biceps brachii. Case report demonstrating clinical relevance. Clin Orthop Relat Res. 1992;280:179–81.

    Google Scholar 

  13. Gheno R, et al. Accessory head of biceps brachii muscle: anatomy, histology, and MRI in cadavers. AJR Am J Roentgenol. 2010;194(1):W80–3.

    Article  PubMed  Google Scholar 

  14. Nakatani T, Tanaka S, Mizukami S. Bilateral four-headed biceps brachii muscles: the median nerve and brachial artery passing through a tunnel formed by a muscle slip from the accessory head. Clin Anat. 1998;11(3):209–12.

    Article  CAS  PubMed  Google Scholar 

  15. Dierickx C, et al. Variations of the intra-articular portion of the long head of the biceps tendon: a classification of embryologically explained variations. J Shoulder Elb Surg. 2009;18(4):556–65.

    Article  Google Scholar 

  16. Richards DP, Schwartz M. Anomalous intraarticular origin of the long head of biceps brachii. Clin J Sport Med. 2003;13(2):122–4.

    Article  PubMed  Google Scholar 

  17. Hyman JL, Warren RF. Extra-articular origin of biceps brachii. Arthroscopy. 2001;17(7):E29.

    Article  CAS  PubMed  Google Scholar 

  18. Andrews JR, Carson WG Jr, McLeod WD. Glenoid labrum tears related to the long head of the biceps. Am J Sports Med. 1985;13(5):337–41.

    Article  CAS  PubMed  Google Scholar 

  19. Snyder SJ, et al. SLAP lesions of the shoulder. Arthroscopy. 1990;6(4):274–9.

    Article  CAS  PubMed  Google Scholar 

  20. Morgan CD, et al. Type II SLAP lesions: three subtypes and their relationships to superior instability and rotator cuff tears. Arthroscopy. 1998;14(6):553–65.

    Article  CAS  PubMed  Google Scholar 

  21. Maffet MW, Gartsman GM, Moseley B. Superior labrum-biceps tendon complex lesions of the shoulder. Am J Sports Med. 1995;23(1):93–8.

    Article  CAS  PubMed  Google Scholar 

  22. Nord K, Ryu RKN. Further refinement of SLAP classification. In: AANA Annual Meeting. Orlando, FL; 2004.

    Google Scholar 

  23. Snyder SJ, Banas MP, Karzel RP. An analysis of 140 injuries to the superior glenoid labrum. J Shoulder Elb Surg. 1995;4(4):243–8.

    Article  CAS  Google Scholar 

  24. Kim TK, et al. Clinical features of the different types of SLAP lesions: an analysis of one hundred and thirty-nine cases. J Bone Joint Surg Am. 2003;85-A(1):66–71.

    Article  PubMed  Google Scholar 

  25. Rhee YG, Lee DH, Lim CT. Unstable isolated SLAP lesion: clinical presentation and outcome of arthroscopic fixation. Arthroscopy. 2005;21(9):1099.

    Article  PubMed  Google Scholar 

  26. Sayde WM, et al. Return to play after Type II superior labral anterior-posterior lesion repairs in athletes: a systematic review. Clin Orthop Relat Res. 2012;470(6):1595–600.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Fedoriw WW, et al. Return to play after treatment of superior labral tears in professional baseball players. Am J Sports Med. 2014;42(5):1155–60.

    Article  PubMed  Google Scholar 

  28. Alpert JM, et al. The effect of age on the outcomes of arthroscopic repair of type II superior labral anterior and posterior lesions. Am J Sports Med. 2010;38(11):2299–303.

    Article  PubMed  Google Scholar 

  29. Brockmeier SF, et al. Outcomes after arthroscopic repair of type-II SLAP lesions. J Bone Joint Surg Am. 2009;91(7):1595–603.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Coleman SH, et al. Arthroscopic repair of type II superior labral anterior posterior lesions with and without acromioplasty: a clinical analysis of 50 patients. Am J Sports Med. 2007;35(5):749–53.

    Article  PubMed  Google Scholar 

  31. Kim SH, et al. Results of arthroscopic treatment of superior labral lesions. J Bone Joint Surg Am. 2002;84-A(6):981–5.

    Article  PubMed  Google Scholar 

  32. Ide J, Maeda S, Takagi K. Sports activity after arthroscopic superior labral repair using suture anchors in overhead-throwing athletes. Am J Sports Med. 2005;33(4):507–14.

    Article  PubMed  Google Scholar 

  33. Boileau P, et al. Arthroscopic treatment of isolated type II SLAP lesions: biceps tenodesis as an alternative to reinsertion. Am J Sports Med. 2009;37(5):929–36.

    Article  PubMed  Google Scholar 

  34. Ek ET, et al. Surgical treatment of isolated type II superior labrum anterior-posterior (SLAP) lesions: repair versus biceps tenodesis. J Shoulder Elb Surg. 2014;23(7):1059–65.

    Article  Google Scholar 

  35. Denard PJ, et al. Arthroscopic biceps tenodesis compared with repair of isolated type II SLAP lesions in patients older than 35 years. Orthopedics. 2014;37(3):e292–7.

    Article  PubMed  Google Scholar 

  36. Gottschalk MB, et al. Subpectoral biceps tenodesis for the treatment of type II and IV superior labral anterior and posterior lesions. Am J Sports Med. 2014;42(9):2128–35.

    Article  PubMed  Google Scholar 

  37. Gupta AK, et al. Subpectoral biceps tenodesis for bicipital tendonitis with SLAP tear. Orthopedics. 2015;38(1):e48–53.

    Article  PubMed  Google Scholar 

  38. Brockmeyer M, et al. SLAP lesions: a treatment algorithm. Knee Surg Sports Traumatol Arthrosc. 2016;24(2):447–55.

    Article  PubMed  Google Scholar 

  39. Claessens H, Snoeck H. Tendinitis of the long head of the biceps brachii. Acta Orthop Belg. 1972;58(1):124–8.

    CAS  PubMed  Google Scholar 

  40. Alpantaki K, et al. Sympathetic and sensory neural elements in the tendon of the long head of the biceps. J Bone Joint Surg Am. 2005;87(7):1580–3.

    PubMed  Google Scholar 

  41. Boileau P, Ahrens PM, Hatzidakis AM. Entrapment of the long head of the biceps tendon: the hourglass biceps--a cause of pain and locking of the shoulder. J Shoulder Elb Surg. 2004;13(3):249–57.

    Article  Google Scholar 

  42. Taylor SA, et al. Diagnostic glenohumeral arthroscopy fails to fully evaluate the biceps-labral complex. Arthroscopy. 2015;31(2):215–24.

    Article  PubMed  Google Scholar 

  43. Hussain WM, et al. The longitudinal anatomy of the long head of the biceps tendon and implications on tenodesis. Knee Surg Sports Traumatol Arthrosc. 2015;23(5):1518–23.

    Article  PubMed  Google Scholar 

  44. Denard PJ, et al. 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.

    Article  PubMed  Google Scholar 

  45. Lafrance R, et al. Relevant anatomic landmarks and measurements for biceps tenodesis. Am J Sports Med. 2013;41(6):1395–9.

    Article  PubMed  Google Scholar 

  46. Cheng NM, et al. The arterial supply of the long head of biceps tendon: anatomical study with implications for tendon rupture. Clin Anat. 2010;23(6):683–92.

    Article  PubMed  Google Scholar 

  47. Koltz I, Tillmann B, Lullmann-Rauch R. The structure and vascularization of the biceps brachii tendon. Ann Anat. 1994;176:75–80.

    Article  Google Scholar 

  48. Pfahler M, Branner S, Refior HJ. The role of the bicipital groove in tendopathy of the long biceps tendon. J Shoulder Elb Surg. 1999;8(5):419–24.

    Article  CAS  Google Scholar 

  49. Depalma AF, Callery GE. Bicipital tenosynovitis. Clin Orthop. 1954;3:69–85.

    CAS  PubMed  Google Scholar 

  50. Hitchcock HH, Bechtol CO. Painful shoulder; observations on the role of the tendon of the long head of the biceps brachii in its causation. J Bone Joint Surg Am. 1948;30A(2):263–73.

    Article  CAS  PubMed  Google Scholar 

  51. Refior HJ, Sowa D. Long tendon of the biceps brachii: sites of predilection for degenerative lesions. J Shoulder Elb Surg. 1995;4(6):436–40.

    Article  CAS  Google Scholar 

  52. Gilmer BB, et al. Arthroscopic versus open comparison of long head of biceps tendon visualization and pathology in patients requiring tenodesis. Arthroscopy. 2015;31(1):29–34.

    Article  PubMed  Google Scholar 

  53. Festa A, et al. Visualization of the extra-articular portion of the long head of the biceps tendon during intra-articular shoulder arthroscopy. Arthroscopy. 2014;30(11):1413–7.

    Article  PubMed  Google Scholar 

  54. Moon SC, Cho NS, Rhee YG. Analysis of “hidden lesions” of the extra-articular biceps after subpectoral biceps tenodesis: the subpectoral portion as the optimal tenodesis site. Am J Sports Med. 2015;43(1):63–8.

    Article  PubMed  Google Scholar 

  55. Braun S, et al. Biomechanical evaluation of shear force vectors leading to injury of the biceps reflection pulley: a biplane fluoroscopy study on cadaveric shoulders. Am J Sports Med. 2010;38(5):1015–24.

    Article  PubMed  Google Scholar 

  56. Braun S, et al. Lesions of the biceps pulley. Am J Sports Med. 2011;39(4):790–5.

    Article  PubMed  Google Scholar 

  57. Bennett WF. Visualization of the anatomy of the rotator interval and bicipital sheath. Arthroscopy. 2001;17(1):107–11.

    Article  CAS  PubMed  Google Scholar 

  58. Bennett WF. Arthroscopic repair of anterosuperior (supraspinatus/subscapularis) rotator cuff tears: a prospective cohort with 2- to 4-year follow-up. Classification of biceps subluxation/instability. Arthroscopy. 2003;19(1):21–33.

    Article  PubMed  Google Scholar 

  59. Walch G, et al. Tears of the supraspinatus tendon associated with “hidden” lesions of the rotator interval. J Shoulder Elb Surg. 1994;3(6):353–60.

    Article  CAS  Google Scholar 

  60. McClelland D, Bell SN, O’Leary S. Relocation of a dislocated long head of biceps tendon is no better than biceps tenodesis. Acta Orthop Belg. 2009;75(5):595–8.

    PubMed  Google Scholar 

  61. Bennett WF. Arthroscopic bicipital sheath repair: two-year follow-up with pulley lesions. Arthroscopy. 2004;20(9):964–73.

    Article  PubMed  Google Scholar 

  62. Taylor SA, et al. The anatomy and histology of the bicipital tunnel of the shoulder. J Shoulder Elb Surg. 2015;24(4):511–9.

    Article  Google Scholar 

  63. Cone RO, et al. The bicipital groove: radiographic, anatomic, and pathologic study. AJR Am J Roentgenol. 1983;141(4):781–8.

    Article  CAS  PubMed  Google Scholar 

  64. Hsu AR, et al. Biceps tenotomy versus tenodesis: a review of clinical outcomes and biomechanical results. J Shoulder Elb Surg. 2011;20(2):326–32.

    Article  Google Scholar 

  65. Slenker NR, et al. Biceps tenotomy versus tenodesis: clinical outcomes. Arthroscopy. 2012;28(4):576–82.

    Article  PubMed  Google Scholar 

  66. Frost A, Zafar MS, Maffulli N. Tenotomy versus tenodesis in the management of pathologic lesions of the tendon of the long head of the biceps brachii. Am J Sports Med. 2009;37(4):828–33.

    Article  PubMed  Google Scholar 

  67. Taylor SA, et al. The clinical impact of bicipital tunnel decompression during long head of the biceps tendon surgery: a systematic review and meta-analysis. Arthroscopy. 2016;32(6):1155–64.

    Article  PubMed  Google Scholar 

  68. Romeo AA, Mazzocca AD, Tauro JC. Arthroscopic biceps tenodesis. Arthroscopy. 2004;20(2):206–13.

    Article  PubMed  Google Scholar 

  69. Sekiya JK, Elkousy HA, Rodosky MW. Arthroscopic biceps tenodesis using the percutaneous intra-articular transtendon technique. Arthroscopy. 2003;19(10):1137–41.

    Article  PubMed  Google Scholar 

  70. Provencher MT, LeClere LE, Romeo AA. Subpectoral biceps tenodesis. Sports Med Arthrosc. 2008;16(3):170–6.

    Article  PubMed  Google Scholar 

  71. Lo IK, Burkhart SS. Arthroscopic biceps tenodesis using a bioabsorbable interference screw. Arthroscopy. 2004;20(1):85–95.

    Article  PubMed  Google Scholar 

  72. Kim SH, Yoo JC. Arthroscopic biceps tenodesis using interference screw: end-tunnel technique. Arthroscopy. 2005;21(11):1405.

    PubMed  Google Scholar 

  73. Gartsman GM, Hammerman SM. Arthroscopic biceps tenodesis: operative technique. Arthroscopy. 2000;16(5):550–2.

    Article  CAS  PubMed  Google Scholar 

  74. Checchia SL, et al. Biceps tenodesis associated with arthroscopic repair of rotator cuff tears. J Shoulder Elb Surg. 2005;14(2):138–44.

    Article  Google Scholar 

  75. Boileau P, et al. Arthroscopic biceps tenodesis: a new technique using bioabsorbable interference screw fixation. Arthroscopy. 2002;18(9):1002–12.

    Article  PubMed  Google Scholar 

  76. Gill TJ, et al. Results of biceps tenotomy for treatment of pathology of the long head of the biceps brachii. J Shoulder Elb Surg. 2001;10(3):247–9.

    Article  CAS  Google Scholar 

  77. Kelly AM, et al. Arthroscopic release of the long head of the biceps tendon: functional outcome and clinical results. Am J Sports Med. 2005;33(2):208–13.

    Article  PubMed  Google Scholar 

  78. Walch G, et al. Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears: clinical and radiographic results of 307 cases. J Shoulder Elb Surg. 2005;14(3):238–46.

    Article  Google Scholar 

  79. Berlemann U, Bayley I. Tenodesis of the long head of biceps brachii in the painful shoulder: improving results in the long term. J Shoulder Elb Surg. 1995;4(6):429–35.

    Article  CAS  Google Scholar 

  80. Wittstein JR, et al. Isokinetic strength, endurance, and subjective outcomes after biceps tenotomy versus tenodesis: a postoperative study. Am J Sports Med. 2011;39(4):857–65.

    Article  PubMed  Google Scholar 

  81. Shank JR, et al. A comparison of forearm supination and elbow flexion strength in patients with long head of the biceps tenotomy or tenodesis. Arthroscopy. 2011;27(1):9–16.

    Article  PubMed  Google Scholar 

  82. Drakos MC, et al. Arthroscopic transfer of the long head of the biceps tendon: functional outcome and clinical results. Arthroscopy. 2008;24(2):217–23.

    Article  PubMed  Google Scholar 

  83. Nord KD, Smith GB, Mauck BM. Arthroscopic biceps tenodesis using suture anchors through the subclavian portal. Arthroscopy. 2005;21(2):248–52.

    Article  PubMed  Google Scholar 

  84. Post M, Benca P. Primary tendinitis of the long head of the biceps. Clin Orthop Relat Res. 1989;246:117–25.

    Google Scholar 

  85. Busconi BB, DeAngelis N, Guerrero PE. The proximal biceps tendon: tricks and pearls. Sports Med Arthrosc. 2008;16(3):187–94.

    Article  PubMed  Google Scholar 

  86. Edwards TB, et al. Repair of tears of the subscapularis. Surgical technique. J Bone Joint Surg Am. 2006;88(Suppl 1 Pt 1):1–10.

    Article  PubMed  Google Scholar 

  87. Brady PC, et al. Arthroscopic proximal biceps tenodesis at the articular margin: evaluation of outcomes, complications, and revision rate. Arthroscopy. 2015;31(3):470–6.

    Article  PubMed  Google Scholar 

  88. Wolf RS, Zheng N, Weichel D. Long head biceps tenotomy versus tenodesis: a cadaveric biomechanical analysis. Arthroscopy. 2005;21(2):182–5.

    Article  PubMed  Google Scholar 

  89. Franceschi F, et al. To detach the long head of the biceps tendon after tenodesis or not: outcome analysis at the 4-year follow-up of two different techniques. Int Orthop. 2007;31(4):537–45.

    Article  PubMed  Google Scholar 

  90. Randelli P, et al. Current practice in shoulder pathology: results of a web-based survey among a community of 1,084 orthopedic surgeons. Knee Surg Sports Traumatol Arthrosc. 2012;20(5):803–15.

    Article  CAS  PubMed  Google Scholar 

  91. Duff SJ, Campbell PT. Patient acceptance of long head of biceps brachii tenotomy. J Shoulder Elb Surg. 2012;21(1):61–5.

    Article  Google Scholar 

  92. Galdi B, et al. Patients have strong preferences and perceptions for biceps tenotomy versus tenodesis. Arthroscopy. 2016;32(12):2444–50.

    Article  PubMed  Google Scholar 

  93. Patzer T, et al. Suprapectoral or subpectoral position for biceps tenodesis: biomechanical comparison of four different techniques in both positions. J Shoulder Elb Surg. 2012;21(1):116–25.

    Article  Google Scholar 

  94. Froimson AI, Oh I. Keyhole tenodesis of biceps origin at the shoulder. Clin Orthop Relat Res. 1975;112:245–9.

    Article  Google Scholar 

  95. Elkousy HA, et al. Arthroscopic biceps tenodesis using the percutaneous, intra-articular trans-tendon technique: preliminary results. Orthopedics. 2005;28(11):1316–9.

    PubMed  Google Scholar 

  96. Dines D, Warren RF, Inglis AE. Surgical treatment of lesions of the long head of the biceps. Clin Orthop Relat Res. 1982;164:165–71.

    Google Scholar 

  97. Dickens JF, et al. Subpectoral biceps tenodesis: an anatomic study and evaluation of at-risk structures. Am J Sports Med. 2012;40(10):2337–41.

    Article  PubMed  Google Scholar 

  98. David TS, Schildhorn JC. Arthroscopic suprapectoral tenodesis of the long head biceps: reproducing an anatomic length-tension relationship. Arthrosc Tech. 2012;1(1):e127–32.

    Article  PubMed  PubMed Central  Google Scholar 

  99. Castagna A, et al. Arthroscopic biceps tendon tenodesis: the anchorage technical note. Knee Surg Sports Traumatol Arthrosc. 2006;14(6):581–5.

    Article  CAS  PubMed  Google Scholar 

  100. Boileau P, Neyton L. Arthroscopic tenodesis for lesions of the long head of the biceps. Oper Orthop Traumatol. 2005;17(6):601–23.

    Article  PubMed  Google Scholar 

  101. Becker DA, Cofield RH. Tenodesis of the long head of the biceps brachii for chronic bicipital tendinitis. Long-term results. J Bone Joint Surg Am. 1989;71(3):376–81.

    Article  CAS  PubMed  Google Scholar 

  102. Ahmad CS, ElAttrache NS. Arthroscopic biceps tenodesis. Orthop Clin North Am. 2003;34(4):499–506.

    Article  PubMed  Google Scholar 

  103. Werner BC, et al. Biceps tenodesis is a viable option for salvage of failed SLAP repair. J Shoulder Elb Surg. 2014;23(8):e179–84.

    Article  Google Scholar 

  104. McCormick F, et al. The efficacy of biceps tenodesis in the treatment of failed superior labral anterior posterior repairs. Am J Sports Med. 2014;42(4):820–5.

    Article  PubMed  Google Scholar 

  105. Werner BC, Brockmeier SF, Gwathmey FW. Trends in long head biceps tenodesis. Am J Sports Med. 2015;43(3):570–8.

    Article  PubMed  Google Scholar 

  106. Lopez-Vidriero E, et al. Biomechanical evaluation of 2 arthroscopic biceps tenodeses: double-anchor versus percutaneous intra-articular transtendon (PITT) techniques. Am J Sports Med. 2010;38(1):146–52.

    Article  PubMed  Google Scholar 

  107. Franceschi F, et al. Soft tissue tenodesis of the long head of the biceps tendon associated to the Roman Bridge repair. BMC Musculoskelet Disord. 2008;9:78.

    Article  PubMed  PubMed Central  Google Scholar 

  108. Mazzocca AD, et al. The biomechanical evaluation of four fixation techniques for proximal biceps tenodesis. Arthroscopy. 2005;21(11):1296–306.

    Article  PubMed  Google Scholar 

  109. Verma NN, Drakos M, O’Brien SJ. Arthroscopic transfer of the long head biceps to the conjoint tendon. Arthroscopy. 2005;21(6):764.

    Article  PubMed  Google Scholar 

  110. Koh KH, et al. Treatment of biceps tendon lesions in the setting of rotator cuff tears: prospective cohort study of tenotomy versus tenodesis. Am J Sports Med. 2010;38(8):1584–90.

    Article  PubMed  Google Scholar 

  111. Mazzocca AD, et al. Subpectoral biceps tenodesis with interference screw fixation. Arthroscopy. 2005;21(7):896.

    Article  PubMed  Google Scholar 

  112. Arora AS, Singh A, Koonce RC. Biomechanical evaluation of a unicortical button versus interference screw for subpectoral biceps tenodesis. Arthroscopy. 2013;29(4):638–44.

    Article  PubMed  Google Scholar 

  113. Cameron JS, Skofronick JG, Grant RM. Physics of the body, Medical physics, vol. 2. King of Prussia: Rittenhouse Bk; 1999.

    Google Scholar 

  114. Ozalay M, et al. Mechanical strength of four different biceps tenodesis techniques. Arthroscopy. 2005;21(8):992–8.

    Article  PubMed  Google Scholar 

  115. Richards DP, Burkhart SS. A biomechanical analysis of two biceps tenodesis fixation techniques. Arthroscopy. 2005;21(7):861–6.

    Article  PubMed  Google Scholar 

  116. Buchholz A, et al. Biomechanical comparison of intramedullary cortical button fixation and interference screw technique for subpectoral biceps tenodesis. Arthroscopy. 2013;29(5):845–53.

    Article  PubMed  Google Scholar 

  117. Werner BC, et al. Increased incidence of postoperative stiffness after arthroscopic compared with open biceps tenodesis. Arthroscopy. 2014;30(9):1075–84.

    Article  PubMed  Google Scholar 

  118. Werner BC, et al. Arthroscopic suprapectoral and open subpectoral biceps tenodesis: a comparison of restoration of length-tension and mechanical strength between techniques. Arthroscopy. 2015;31(4):620–7.

    Article  PubMed  Google Scholar 

  119. Werner BC, et al. Arthroscopic suprapectoral and open subpectoral biceps tenodesis: a comparison of minimum 2-year clinical outcomes. Am J Sports Med. 2014;42(11):2583–90.

    Article  PubMed  Google Scholar 

  120. Green JM, et al. 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.

    Article  PubMed  Google Scholar 

  121. Gombera MM, et al. All-arthroscopic suprapectoral versus open subpectoral tenodesis of the long head of the biceps brachii. Am J Sports Med. 2015;43(5):1077–83.

    Article  PubMed  Google Scholar 

  122. Giphart JE, et al. The long head of the biceps tendon has minimal effect on in vivo glenohumeral kinematics: a biplane fluoroscopy study. Am J Sports Med. 2012;40(1):202–12.

    Article  PubMed  Google Scholar 

  123. Abraham VT, Tan BH, Kumar VP. Systematic review of biceps tenodesis: arthroscopic versus open. Arthroscopy. 2016;32(2):365–71.

    Article  PubMed  Google Scholar 

  124. Nho SJ, et al. Complications associated with subpectoral biceps tenodesis: low rates of incidence following surgery. J Shoulder Elb Surg. 2010;19(5):764–8.

    Article  Google Scholar 

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  1. Schulthess Clinic, Zurich, Switzerland

    Sebastian Kwisda & Matthias Flury

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  1. Sebastian Kwisda
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  2. Matthias Flury
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  1. Department of Orthopaedics, Catholic University, Rome, Italy

    Giuseppe Milano

  2. Department of Orthopaedics, Casa di Cura Villa Valeria, Rome, Italy

    Andrea Grasso

  3. Clínica del Pilar , Zaragoza, Spain

    Angel Calvo

  4. Orthopaedic/Upper Limb, St. Luke’s Hospital, Bielsko-Biała, Poland

    Roman Brzóska

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Kwisda, S., Flury, M. (2018). Biceps Disorders: When and How to Operate. In: Milano, G., Grasso, A., Calvo, A., Brzóska, R. (eds) Management of Failed Shoulder Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56504-9_10

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  • DOI: https://doi.org/10.1007/978-3-662-56504-9_10

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