Intra-articular Arthroscopic Tenodesis of the Long Head of the Biceps Using a Knotless Threaded Anchor: Surgical Technique

Keywords: Long head of the biceps, SLAP lesion, tenotomy, tenodesis

Abstract

Introduction: Shoulder pain associated with pathologies of the long head of the biceps—such as tenosynovitis, SLAP lesions, instability (pulley lesions and dislocation), and tendon tears (partial or complete)—is common. Objective: To describe, step by step, an intra-articular arthroscopic tenodesis of the long head of the biceps using a high-strength suture passed through the tendon with a Penetrator® suture passer and fixation with a 4.75-mm knotless threaded anchor. Conclusion: This technique is simple, easy to learn, minimally invasive, and yields good postoperative outcomes.

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Author Biographies

Alejo López, Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Rufino C. Ruiz, Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Carlos Martínez, Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Rodrigo Pérez, Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Nahuel Acosta , Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Upper Limb Team, Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina

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Published
2025-08-29
How to Cite
López, A., Ruiz, R. C., Martínez, C., Pérez, R., & Acosta , N. (2025). Intra-articular Arthroscopic Tenodesis of the Long Head of the Biceps Using a Knotless Threaded Anchor: Surgical Technique. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 90(4), 388-395. https://doi.org/10.15417/issn.1852-7434.2025.90.4.1956
Section
Nota técnica

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