Biceps Tendinitis: Arthroscopic Repair Technique at the Top of the Groove Animation

Biceps Tendinitis: Arthroscopic Repair Technique at the Top of the Groove Animation

This animation will demonstrate a biceps tendon repair called a tenodesis, where the biceps tendon is cut from its normal attachment site at the shoulder socket and reattached elsewhere on the upper arm. In this animation, we will show the repair completed arthroscopically through small incisions called portals.

Let us get started. Here we have a right shoulder. There is a purple tube called a cannula in front of the shoulder joint. This cannula will allow the surgeon to bring instruments into the shoulder to complete this procedure.

First, the surgeon will place suture around and through the biceps tendon. This allows the surgeon to have control of the tendon so that once it is cut from its normal attachment site, it does not retract away from view. The surgeon will then cut the biceps tendon at its attachment site at the shoulder socket.

Outside of the skin, the suture will be incorporated into an anchor that looks similar to a screw. A pilot hole is then prepared in the bone right next to the ball of the shoulder joint for the anchor. The surgeon can now introduce the anchor and suture into the pilot hole.

The suture can be pulled to tension prior to securing the anchor, which will help restore the bicep muscle's normal shape and function. The anchor is placed, the remaining suture is cut, and the procedure is complete.