Bicep Tenodesis of the Shoulder
What is Biceps Tenodesis of the Shoulder?
Biceps Tenodesis of the shoulder is a specific kind of surgery that repairs a tear in the tendon connecting your biceps to your shoulder. It might be performed by itself or as part of a more extensive shoulder surgery procedure.
Why Might I Need Biceps Tenodesis Surgery?
You may recognize a torn bicep immediately, or due to repetitive shoulder motions, symptoms may intensify over time. Symptoms might include:
- A sudden, severe pain in your upper arm that might also include a snapping sound
- Cramping of your bicep muscle after or during heavy use
- Pain and a tender feeling in your shoulder or elbow
- Bruising from the center of the bicep muscle down to the elbow
- Difficulty rotating your arm into a palm up or down position
- A noticeable bulge in your upper arm
What Does Preparation for Biceps Tenodesis of the Shoulder Look Like?
A few days before the surgery, you will likely be given a topical medicine to clean your skin. Leading up to your surgery, your surgeon will discuss any current medications you're taking and what ones you can or cannot take before surgery. Your surgeon will also ask you not to eat or drink the day of your surgery.
How is Biceps Tenodesis of the Shoulder Performed?
This type of surgery may be performed arthroscopically or open and may depend on your surgeon and personal experience.
An open surgery will involve one large incision as well as several small ones.
The arthroscopic surgery will employ several small incisions.
Risks and Potential Complications of Biceps Tenodesis of the Shoulder
Complications from this type of surgery are relatively rare. The risk of infection, bleeding and negative reaction to anesthesia can be a risk of any surgery. If this surgery is part of a larger operation on the shoulder, complications that could occur include nerve injury in the shoulder, stiff shoulder or shoulder joint cartilage damage.
What to Expect During the Surgery
General anesthersia will be administered during this type of surgery. If your surgeon is performing biceps tenodesis surgery using small incisions, they will use a scope to look inside the shoulder prior to performing the surgery. During the procedure, a screw or other anchoring device will be inserted into the upper arm bone and then the long end of the biceps will be clipped and sewed onto the screw.
Biceps Tenodesis of the Shoulder
"The outlook of this surgery is generally very good with as much as 95% of patients having pain relief and improved muscle function."
- Dr. Hessing, Orthopedic Surgeon
What Does Recovery/Rehabilitation Look Like?
Recovering from biceps tenodesis can be fairly lengthy. It will require a lot of rest and physical therapy. You will be required to wear a sling for a few weeks following the procedure to minimize your shoulder use. One to two weeks after the surgery, you will have passive motion. After about three months, most patients will start to recover arm function and strength.