Biceps Tendon Anatomy
The biceps muscle is located in front of your upper arm. It helps in bending your elbow as well as in rotational movements of your forearm. It also helps to maintain stability in the shoulder joint. The biceps muscle has two tendons, one of which attaches it to the bone in the shoulder and the other attaches at the elbow.
Biceps Tendon Tear
Overuse and injury leads to fraying of the biceps tendon and eventual rupture.
The biceps tendon can tear at the shoulder joint or elbow joint. Most biceps tendon ruptures occur at the shoulder and is referred to as proximal biceps tendon rupture. When it occurs at the elbow, it is referred to as a distal biceps tendon rupture, however this is much less common.
Biceps Tenodesis Procedure
During biceps tendon repair, your surgeon makes a small incision over the upper part of the upper arm shoulder, where the biceps muscle attaches to the shoulder joint. The torn biceps tendon is brought up through the incision. Then, the humerus bone is prepared for tendon reattachment and to promote healing. Two suture anchors will be inserted into the bone. These serve as anchorage for the tendon. The sutures from the suture anchors are passed through the tendon in a particular interlocking manner so as to ensure a strong tendon repair.
Post-operative Care Biceps Tenodesis
After the repair is complete, your arm will be in a sling. You will be advised physical therapy.
Risks and Complications of Biceps Tenodesis
Complications are rare and may include infection, bleeding, injury of the adjacent nerves, stiffness and injury to the shoulder cartilage.