Analysis of Suprapectoral and Subpectoral Biceps Tenodesis

Biceps pathology typically includes pain in the anterior shoulder that is reproduced with
provocative maneuvers. However, optimal treatment of patient with this diagnosis is not clear
and can include tenotomy (cutting the biceps) or various forms of tenodesis (cutting then
reattaching). As tenotomy can lead to cosmetic deformity and anterior humeral discomfort from
spasms, many surgeons perform tenodesis. There are various techniques for tenodesis. This
study will compare 2 methods: suprapectoral (doing the surgery using an incision higher in
the shoulder) versus subpectoral fixation (surgery which involves making an incision lower in
the shoulder).

Purpose of the study is to prospectively determine whether arthroscopic suprapectoral or open
subpectoral biceps tenodesis results in better function.