SHOULDER

Arthroscopic tenodesis of the long biceps subpectoral tendon

Arthroscopic subpectoral long biceps tendon (LBT) tenodesis is an outpatient procedure. It involves removing the diseased tendon from its insertion in the shoulder and then securely reattaching it to the humerus, beneath the pectoralis major tendon. This technique helps to eliminate pain associated with the biceps whilst preserving its function and minimising the risk of arm deformity (‘Popeye’ sign).

Rehabilitation:

 

  • Sling: 2 to 4 weeks
  • Early mobilisation of the shoulder
  • No forced elbow flexion or resisted supination for 6 weeks
  • Progressive physiotherapy
  • Resumption of daily activities: 4 to 6 weeks
  • Return to sport and strenuous activity: approximately 3 months