Biceps Tenodesis in the Shoulder: Surgical Technique

[@BrianWhitmerMusic]

Just want to say thank you for your excellent use of graphics and models. I’ve been to three different orthopedists in the past year, and I learned almost nothing useful from them because none of them had 3D models. Instead, they ALL sketched terrible, confusing drawings of shoulder joints on the backs of my MRI reports. I learned more from three short videos on your channel than from all of those other orthopedists put together.

[@farshadmasoudi7219]

Excellent

[@gabrielbarianos3556]

I had this operation done along with a SLAP tear repair, Let me tell you how painful the recovery was, but my shoulder is doing much better than before. Id rather have both meniscus repairs done together than this alone again. I had a great Surgeon

[@1958Princess1]

Thank you, this was very helpful in understanding what I’m possibly facing should I elect to have this surgery.

[@greenotter44]

Had this procedure three weeks ago. Used my bicep to support a small amount of weight 2 weeks after surgery and tore the tendon. Don’t use your bicep post-op!!!

[@RAXMW]

I had the operation 11 days ago and I can't move my arm yet. Did you move it after the operation? And how did you feel when you tore your biceps muscle again?

[@aprilwilliams3027]

Define “small amount of weight “

[@Dustmaker18]

Had mine torn as well and surgeon say its now in the bicipital groove and will heal here. I did not even lift anything. It just came loose when I had my arm relaxed while standing. Can it heal here or is this BS? What did you do next ?

[@NormaveronicaRODRIGUEZ-sb5uu]

Gracias Excelente

[@NormaveronicaRODRIGUEZ-sb5uu]

Doctor, Problema Tendinitis de la porción Larga del Bíceps probable Subluxación

[@jeffgosney4344]

Excellent pictures

[@Concept-Film]

My concerns are: 1) from the video the tendon is moved from the cut down to where the hole is. Wouldn't that cause slack in the bicept? 2) I would think while the procedure is necessary for many the flexiblilty you would have with tendon going all they up into Labrum is superior to after the procedure. I think of an instrument and what happens to the playability of string when you shorten it. It becomes less flexible.

[@StephanieSuela]

I’m six months and a half post up on a reverse shoulder replacement and just this past week I started having severe pain and a huge bruise on my arm. Well, I seen my orthopedic surgeon and he said that my bicep detached well I’m not very pleased I didn’t go bowling with the 16 pound bar. I did not throw a baseball or football and I didn’t do anything strenuous. Besides rake up some leaves with a plastic rake. I hate communicating it’s not worth attaching, so I’m not for sure how you can swing or lift without your bicep being attached

[@jesesitofana2071]

in what case this surgery is necessary , and does it fits with an athlete who depends on power and explosive shoulder movement in training after the operation

[@bruceantoineii8875]

I had this surgery 3 and 1/2 weeks ago and still having a lot of pain how long does it take for the tendon to heal in that space

[@kristymrodz8048]

😮oh no! I will have this surgery in June and I’m scared to death ☠️ I want something to get rid of the pain, not to make it worse. Do you recommend this kind of procedure?

[@Marx1963]

@@kristymrodz8048I’m having same procedure- hope it works after watching many I’m a little nervous- hope all goes well for ya

[@TK_Mo]

​@@kristymrodz8048 I'm around 12 years post surgery. My biceps cramps holding an empty pizza box. Showers are painful range of motion is 💩. I wouldn't recommend this surgery to anyone. I now have a large lump under my deltoid muscle and the muscle is being pulled inward and down towards the upper peck muscle. If you are too old to have it repaired, I recommend you either do nothing and treat it with care or just have the tendon clipped. That's my opinion based on my experience. If I could go back in time, I'd not have this procedure. BTW, I've also lost all of my cartridge since the surgery. Until the lump developed, doctors wouldn't even look at my shoulder. They would look at the X-Ray and say that I have arthritis. I'd say, I know I do but something else is wrong. I have lots of experience lifting weights as well as some exercise and sports science education. I know what I feel. Surgeon's are by far the most arrogant and conceited people I've ever spoken to with horrible bed side manners. Again, JMHO!

[@firstnamesecondname852]

I would attach the tendon in the groove *before* cutting it to make sure the tension is correct.

[@Thomas_Shelby0707]

My long head bicep tendon slipped out of groove , can it be place back to the place through physical therapy

[@lucas29476]

@@Thomas_Shelby0707no

[@snowmiser4893]

The cure looks as bad as the disease.

[@mintr510]

Looks like a cure from the middle ages. Yup, I prefer to keep my biceps intact.

[@springteen3743]

Not much progress in this field for the last 50 years, sad😢

[@davidstreet741]

After this surgery for me.. it caused the popeye deformity. Why?

[@Dustmaker18]

Maybe it came loose as my did. Have you checked with ultrasound?

[@TK_Mo]

I'm around 12 years post surgery. My biceps still will cramp while holding an empty pizza box. Showers are painful range of motion is extremely poor. I wouldn't recommend this surgery to anyone. I now have a large lump under my front deltoid muscle and that muscle is being pulled inward and down towards the upper peck muscle. If you are too old to have it repaired properly, I recommend you either do nothing and treat it with care/caution or just have the tendon clipped. That's my opinion based on my experience. If I could go back in time, I'd not have this procedure done. BTW, I've also lost all of my cartridge since the surgery. Until the lump developed, doctors wouldn't even look at my shoulder. They would look at the X-Ray and say that I have arthritis. I'd say, I know I do, but something else is wrong. I have lots of experience lifting weights with proper form and know how to isolate muscle groups. I as well have some education in exercise and sports science and medical training while in the Army. I know what I feel. I've found that surgeon's, are by far the most arrogant and conceited people I've ever spoken to, with horrible bed side manners. I'm paraphrasing, but my surgeon told me that he is the shoulder expert not me. Again, JMHO!

[@HeyIntegrity]

they can't cut it anymore? did the procedure cause and instability before you developed arthritis?

[@TK_Mo]

@@HeyIntegrity not that I noticed. Something would and still does periodically catch but no instability at least not when awake. Can you expound on your statement that "they can't cut it anymore?"

[@HeyIntegrity]

@@TK_Mo I mean after tenodesis they can't remove your biceps tendon by doing a tenotomy(cut)?

[@mikeg5325]

My surgeon is suggesting a tendonesis due to my SLAP tear also in addition to my supraspinatus tear. You had this tendonesis done at what age? I'm 52 and in good health and physically active and want to get back to lifting and pulling but stopped due to this condition 2 years ago and it's worsened somw since then.

[@TK_Mo]

@@mikeg5325 I was in my mid 40's.

[@survivingmalcolm]

I had this surgery, same time as rotator cuff

[@autumn1231]

Has it healed properly?