Biceps Tenodesis
What is Biceps Tenodesis?
Biceps Tenodesis is a surgical approach specifically designed to treat conditions like SLAP (Superior Labrum from Anterior to Posterior) tears that involve the biceps tendon and the labrum in the shoulder. By reattaching the biceps tendon to a different location on the humerus, the procedure alleviates pain, reduces irritation, and optimizes shoulder function.
As a fellowship trained shoulder surgeon, Dr. Ben Mayo specializes in managing SLAP tears and related conditions, offering consultations in his offices in Livonia and Sterling Heights, Detroit area. To explore your options for treating SLAP tears, reach out to Dr. Mayo’s team today.
Ideal candidates for Biceps Tenodesis due to SLAP tear are those who have persistent shoulder pain despite trying conservative treatments like physical therapy or corticosteroid injections. If you are suffering from a diagnosed SLAP tear affecting your shoulder function and daily life, this procedure may be an optimal treatment option for you.
The procedure can be performed either arthroscopically or as an open surgery. Both techniques aim to release the biceps tendon from its original SLAP tear-affected attachment to the labrum, and re-anchor it to a different location on the humerus to promote healing and alleviate symptoms.
- Arthroscopic Biceps Tenodesis: Utilizes small incisions around the shoulder and an arthroscope for visualization. The biceps tendon is detached from the damaged labrum and re-anchored into the humerus using sutures and a fixation device.
- Open Biceps Tenodesis: Involves an initial arthroscopic procedure to detach the tendon from the labrum, followed by a small incision near the armpit to identify and reattach the tendon to the humerus.
For desk jobs and light work, patients typically return within 1-2 weeks. Full recovery and return to sports or heavy lifting usually take around 4-6 months to ensure the tendon heals well in its new location.
Immediately following surgery, expect to wake up with a sling around your shoulder for immobilization. You will go home the same day from surgery. Pain medication will be prescribed to manage post-operative discomfort.
Physical therapy is integral to the recovery process:
- Early Stage (1-4 Weeks): Focus on pain management, and preventing stiffness with guided range-of-motion exercises.
- Middle Stage (4-12 Weeks): Advanced range-of-motion and light strengthening exercises.
- Late Stage (12 Weeks Onward): Sport-specific and challenging exercises to regain full strength and function.
- Infection: Rare but preventable with perioperative antibiotics.
- Nerve Injury: A small chance exists of temporary or permanent nerve damage.
- Cosmetic Changes: Potential for a “Popeye” muscle appearance.
- Tenodesis Failure: Uncommon but may require additional surgery.
Opting not to undergo Biceps Tenodesis, if recommended, could result in:
- Ongoing pain and discomfort
- Decreased shoulder function and limitation in daily activities
- Progression of damage to the shoulder joint
Schedule a Shoulder Consultation
For expert care in treating SLAP tears via Biceps Tenodesis, contact Dr. Ben Mayo. His clinics in Livonia and Sterling Heights serve Detroit and surrounding areas like Troy, Canton, Macomb, Farmington Hills, and Royal Oak. For a personalized treatment plan by a fellowship-trained shoulder surgeon, call or schedule a consultation with Dr. Mayo today.
At a Glance
Ben Mayo, MD
- Fellowship Trained Sports Surgeon
- Specializes in Minimally Invasive Arthroscopic Shoulder, Elbow, Hip, & Knee Surgery
- Published over 50 peer-reviewed articles and 10 book chapters
- Learn more