Arthroscopic Suprapectoral Biceps Tenodesis Using an Onlay Technique

July 6, 2024

Title: Arthroscopic Suprapectoral Biceps Tenodesis Using an Onlay Technique

Excited to share that my article on Arthroscopic Suprapectoral Biceps Tenodesis using an Onlay Technique has been accepted for publication by Arthroscopy Techniques. Biceps tenodesis is a crucial procedure in my practice, addressing various biceps tendon injuries like ruptures, SLAP tears, and instability.

In the publication, I delve into the intricacies of this procedure, highlighting the shift of the biceps tendon insertion from the glenoid to the humerus. The arthroscopic approach discussed offers notable advantages, particularly in reducing risks, improving the efficacy of the procedure and enhancing the evaluation of lesions in the bicipital groove.

Furthermore, the technique emphasized in the article ensures the maintenance of an optimal length-tension relationship in the biceps tendon, ultimately minimizing potential complications. Stay tuned for valuable insights on this innovative approach!

Abstract: Tenodesis of the long head of biceps is a common shoulder surgical procedure. Tenodesis can be performed either arthroscopically or open and within the glenohumeral joint, within the bicipital groove, or below the pectoralis major tendon insertion. Arthroscopic tenodesis of the biceps tendon reduces the risk of infection. Our technique may also address persistent pain due to over tensioning of the tenodesis or from lesions hidden within the groove, such as bicipital synovitis or partial tendon tears, that are not visualized in a standard open technique. We describe an all-arthroscopic onlay technique for biceps tendon fixation at an extra-articular position within the bicipital groove, above the pectoralis major insertion. The technique uses standard arthroscopic equipment and a single knotless suture anchor.


Ashish Gupta, Kathir Azhagan Stalin, Helen Ingoe, Roberto Pareyon, Brandon Ziegenfuss

St Andrew's War Memorial Hospital, QUASR, ARC Training Centre for Joint Biomechanics , QUT (Queensland University of Technology), The University of Queensland

#BicepsTenodesis #ArthroscopicSurgery #OrthopedicTechniques #MedicalPublication