Biceps Tenodesis

Biceps tenodesis is a minimally invasive arthroscopic procedure requiring only a few small incisions on the front of the shoulder. The arthroscope itself is a small, tube-shaped instrument that has a light source and a video camera on its end. The camera on the arthroscope sends images to a video monitor, giving Dr. Petrigliano a clear and magnified view of the structures within the joint. This allows him to inspect the joint for damage, determine the cause of a patient’s symptoms, and perform the biceps tenodesis. The procedure involves detaching the long head of the biceps tendon from the labrum, removing the damaged section and reattaching the tendon to the upper arm bone with sutures or screws.

After surgery, you will wear a sling for the about 2-4 weeks to protect the shoulder as it heals. It is likely that you will begin gentle range of motions exercises guided by a physical therapist. After this initial recovery period, more intensive physical therapy often begins. This therapy is designed to restore strength and flexibility to your shoulder and arm. This can last several weeks to a few months.

Full recovery, meaning a return to all normal activities including sports and heavy lifting, typically takes about 4 to 6 months, but it can sometimes take longer. These are general guidelines. Individual experiences can vary significantly.

Studies suggest that biceps tenodesis has a high success rate. Most patients experience significant pain relief and return to their prior level of function. Some studies have reported success rates (defined by patient satisfaction and/or return to prior level of function) of around 90% or higher. 

Los Angeles shoulder surgeon, Dr. Frank Petrigliano is an internationally regarded expert on shoulder injuries, conditions and treatments. Whether you are young or old, athlete or not, suffering from shoulder pain or an injury can be disabling.  Contact Dr. Petrigliano at the Epstein Family Center for Sports Medicine at Keck Medicine at USC. He can help.