✦ Biceps Tendon Surgery

Arthroscopic Biceps Tenodesis / Tenotomy

Q: What does the biceps tendon do?

It assists shoulder stability and elbow flexion. The long head originates inside the shoulder joint, making it vulnerable to wear and tears.

Q: Will I see a Popeye deformity?

Tenodesis preserves the contour. Tenotomy may produce a small bulge in the upper arm — usually cosmetic only and well tolerated.

Q: Can I lift weights afterwards?

Yes — most patients return to gym work, including overhead lifts, by 4–5 months following structured rehabilitation and strengthening protocols.

Q: Is anaesthesia general or regional?

Both are options. Most cases use interscalene block plus light sedation, allowing same-day discharge with excellent immediate pain control.

A painful biceps tendon is either released or rerouted to the upper arm bone — eliminating chronic anterior shoulder pain and restoring smooth, comfortable arm motion through tiny keyhole incisions.

45–60 min PROCEDURE

Day-Care HOSPITAL STAY

>90% SUCCESS RATE

3–4 Months FULL RECOVERY

What is Arthroscopic Biceps Tenodesis / Tenotomy?

Arthroscopic Biceps Tenodesis and Tenotomy are minimally invasive shoulder procedures that address pathology of the long head of the biceps tendon — a frequently overlooked but significant source of anterior shoulder pain. In tenotomy, the inflamed tendon is simply released from its origin at the superior labrum, providing immediate pain relief. In tenodesis, the same tendon is released and then re-anchored to the upper humerus to maintain biceps strength and contour. Dr. Hithesh performs these procedures in Hyderabad through tiny portals, choosing the approach best suited to each patient's age, activity profile and aesthetic preferences.

Indicated for patients with biceps tendon pathology — partial tears, instability, SLAP lesions or chronic tendinopathy — failing conservative treatment with physiotherapy, anti-inflammatories and ultrasound-guided steroid injections.

How the Procedure Works

Diagnostic Arthroscopy

Standard shoulder portals confirm biceps tendon pathology and rule out additional rotator cuff or labral disease requiring treatment.

Tendon Release

The damaged biceps tendon is detached from its labral origin using arthroscopic instruments under direct camera visualisation.

Procedure Selection

For older lower-demand patients tenotomy alone suffices; younger active patients receive tenodesis to preserve biceps strength and contour.

Tenodesis Fixation

The released tendon is securely anchored to the proximal humerus using interference screws or suture anchors at suprapectoral level.

Closure & Recovery

Tiny portals are closed with sutures or steri-strips; sling support and graded rehabilitation guide complete recovery afterwards.

Outcomes

45–60 minDURATION

Day-CareHOSPITAL STAY

>90%SUCCESS RATE

3–4 MonthsFULL RECOVERY

Who Needs This Treatment?

→Provides reliable relief from chronic anterior shoulder pain
→Three tiny keyhole portals leave minimal cosmetic scarring afterwards
→Tenodesis preserves natural arm contour and elbow flexion strength
→Day-care surgery with same-day discharge home and rapid recovery
→Returns patients to overhead sports and active recreational lifestyles
→Excellent functional outcomes with very high patient satisfaction reported

The long head of biceps quietly causes more shoulder pain than people realise. Whether you choose tenodesis or tenotomy, the right operation in the right patient consistently transforms a chronically painful shoulder.

— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

What does the biceps tendon do?+

Will I see a Popeye deformity?+

Can I lift weights afterwards?+

Is anaesthesia general or regional?+

Not sure which treatment is right for you?

Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.

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