ORTHOPEDICS/SHOULDER & ELBOW/THERAPY & SURGERY
Surgical Procedure and Alternatives
The biceps tendon is the tendon that attaches the biceps muscle to the bone.
The biceps muscle is termed “Biceps” because it is an attachment of two tendon (therefore, “bi”-ceps) in the shoulder.
The biceps muscle is significant for two main reasons: curving the elbow (flexion) and turning the forearm upwards (supination).
When Biceps tendon tears arise, it can lessen the strength of these movements and can cause a defect to the biceps muscle as well.
Biceps Tendon Tears
Partial or total detachment is the most frequent biceps tendon tears kind.
There are two attachments of the biceps tendon at the shoulder, one within the shoulder joint (the biceps long head), and the second is in front of the shoulder joint (the biceps short head).
Damages to the proximal biceps tendon usually involve the biceps long head.
When this biceps long head tendon is injured, the appropriate therapy considered is called a biceps tenodesis.
Biceps tendon tears are a shoulder pain collective source.
The biceps is generally considered as a main “pain generator” in the shoulder, and tears in the biceps are normally related to the rotator cuff disorders.
There are diverse methods to address biceps tendon difficulties through both surgical and nonsurgical therapies.
A biceps tenodesis is one of the frequent surgical approaches to address biceps tendon tears.
Biceps Tenodesis Surgery
A biceps tenodesis is a surgical technique performed for the therapy of a damaged biceps tendon proximal long head.
During biceps tenodesis surgery, the normal attachment of the biceps tendon in the shoulder joint is detached (if not completely torn already), and the tendon is reinserted to the humerus bone (the arm bone).
When the biceps tendon has cracked entirely, it is clearly not compulsory to detach the tendon from within the shoulder.
The idea in performing a biceps tenodesis, is moving the tendon from its normal attachment within the shoulder joint to a new position further down the arm bone.
Necessities of a Biceps Tenodesis?
A biceps tenodesis can be performed for the ttherapy of a number of disorders that involve the biceps tendon, including:
The biceps long head Separation
SLAP tears
Biceps tendonitis
Biceps tendinosis
Habitually, the best therapy of a biceps tendon disorder depends on the patient age, the activities practice , the tendon damage kind and other factors as well such, SLAP restoration and Biceps tenotomy,
Tenotomy or Tenodesis?
The actual controversy is focusing on which of these surgical techniques is better, a biceps tenotomy or a tenodesis.
Each of these two procedures have its advantages and its disadvantages. Both are practical alternatives, and one may be better for some patients and the other for other patients. There is not a better or worse process.
Active people such as athletes or manual laborers, commonly choose the biceps tenodesis.
Others might choose the biceps tenotomy if they want a quicker healing and want to avoid complications of restoring a tendon and having a longer surgery.
Recovery
Surgical recovery after a biceps tenodesis may take four to six weeks. Arm mobility may be launched earlier, but full activities are postponed for a minimum of three months.
Biceps Tenodesis / Complications
Surgical complications may result following a biceps tenodesis.
Common complications that can occur are usually inflammation, healing difficulties, nerve damage, and pain.
For a complete recovery, the tendon must reattach firmly to the bone. Any failure of the devices that hold the tendon may enhance future complications.