Arthroscopic transfer of the long biceps tendon to the joint tendon

The transfer of the long biceps tendon to the coraco-biceps tendon is a procedure performed entirely arthroscopically, most often on an outpatient basis. It is recommended when the long biceps tendon is the cause of persistent pain despite appropriate medical treatment.

After releasing its insertion at the glenoid, the long biceps tendon is attached to the coraco-biceps tendon. Unlike a conventional tenodesis on the humerus, this transfer allows for a more accurate reproduction of the anatomical axis and the natural direction of the biceps muscle, which may reduce residual pain and minimise the risk of failure observed with certain conventional tenodesis procedures. This technique also helps to avoid the drawbacks of simple tenotomy, notably arm deformity (‘Popeye’) and muscle cramps in active patients.