Biceps Tenotomy
Shoulder Surgery -
Adelaide Orthopaedic Specialist
Biceps tenotomy may be used to release a damaged long head tendon, reducing pain. Dr James McLean is able to provide this procedure using a minimally-invasive arthroscopic approach.
What is a biceps tenotomy?
The biceps muscle has two tendons which attach it to the labrum. While the larger (short head) tendon rarely causes problems, the long head tendon is prone to wear and tear. If it becomes frayed, painful or degenerate, a biceps tenotomy can be performed to reduce pain by releasing it from its anchor point at the shoulder. Biceps tenotomy may also be performed to treat a SLAP lesion or tear.
Alternatives to biceps tenotomy
A biceps tenotomy may be performed as an alternative to biceps tenodesis, which involves severing the tendon and reattaching it below the pectoralis major muscle. The main difference in outcomes is cosmetic: by anchoring the tendon to a new point (rather than letting it hang freely), the risk of Popeye deformity to the biceps muscle is reduced.
What is involved in an arthroscopic biceps tenotomy?
In a biceps tenotomy, the biceps tendon is cut free from the labrum and allowed to retract into the upper arm. It is not reattached to any structure in the shoulder, and is allowed to heal on its own.
Dr James McLean is able to perform biceps tenotomy using an arthroscopic approach. This allows him to operate through a series of small incisions, rather than creating a large wound.
The arthroscopic approach to biceps tenotomy involves inserting a small camera into the joint to gain a clear view of the area. Specialised tools are then inserted through another small incision and used to release the tendon from its anchor point. The tools are then removed and the small wounds are stitched closed.
Surgical outcomes
As biceps tenotomy involves releasing the long head tendon, change to the contour of the biceps muscle may occur. This often not noticeable; however, some patients may request an alternative procedure to avoid the risk of deformity.
The arthroscopic approach to biceps tenotomy has the advantage of causing minimal disruption to the surrounding tissue, which may result in a faster recovery time and reduced scarring.
In the majority of cases, there is no noticeable reduction in strength or motion following the procedure. Most patients who undergo biceps tenotomy report better use of the shoulder, less pain, and the ability to return to sports following the recovery period.
Recovery from biceps tenotomy
As there is no reattachment involved, recovery from biceps tenotomy tends to be quicker than recovery from biceps tenodesis.
Typically speaking, your shoulder will remain immobilised in a sling for four to six weeks post-procedure. This will be followed by specialised exercises to help restore movement and strength to the shoulder joint, and a gradual return to normal activity. However, your individual recovery process will be influenced by your own health and the nature of your condition.
Following your biceps tenotomy, you may experience occasional muscle cramping and spasms. This is particularly common following strenuous activities or repetitive turning motions, such as lifting weights or turning a screwdriver.
Patient Post-operative information
Shoulder Treatments
Dr James McLean performs many different surgeries to treat elbow injuries and conditions. Browse the links below for more information on individual surgeries and how they are performed.
Labral (Bankart) Repair for Instability
Post-Operative Shoulder Exercises
Arthrographic Hydrodistension for Frozen Shoulder (Adhesive Capsulitis)
Latarjet Procedure for Instability
Shoulder Arthroscopy – Acromioclavicular Joint Excision
Shoulder Arthroscopy – Animation
Shoulder Arthroscopy – SLAP Repair
Tendon Transfer for Massive Rotator Cuff Tears
Depending on the type and severity of your shoulder injury, surgery might be the best option. Dr James McLean specialises in minimally invasive arthroscopic (key-hole) surgery. His aim is to get you the best possible outcome, taking into account your lifestyle, general health and family situation. Before surgery, Dr McLean will guide you through the process and address any concerns you have.
If you have a sports injury or other shoulder condition, it is best to act quickly. Delaying treatment can cause permanent damage and reduce the potential for a full recovery.
Call our friendly team on 08 7077 0101 to make an appointment or use our handy online booking service. Consultations are available in Dulwich (SA), Bedford Park (SA) and Elizabeth Vale (SA).
Common Shoulder Injuries
Browse the links below for more information on common shoulder injuries, including the main causes, symptoms and treatments.
Labral (Bankart) Repair for Instability
Acromioclavicular Dislocations
Shoulder Impingement & Rotator Cuff Tendinitis
Shoulder Joint Tear +/- Instability (Glenoid Labral Tears)
Shoulder Subscapularis Tendon Tear
Shoulder Conditions
Browse the links below for more information on specific shoulder conditions, including the main causes, symptoms and treatments.
Labral (Bankart) Repair for Instability
Arthritis (Acromioclavicular Joint)
Arthritis (Rotator Cuff Arthropathy)
Nerve Conditions of the Shoulder
Patient Information
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