Arthroscopic Biceps Tenodesis / Tenotomy
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.
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
Who Needs This Treatment?
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Provides reliable relief from chronic anterior shoulder pain
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Three tiny keyhole portals leave minimal cosmetic scarring afterwards
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Tenodesis preserves natural arm contour and elbow flexion strength
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Day-care surgery with same-day discharge home and rapid recovery
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Returns patients to overhead sports and active recreational lifestyles
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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
Arthroscopic Biceps Tenodesis / Tenotomy Cost in Hyderabad
The cost of arthroscopic biceps tenodesis or tenotomy in Hyderabad depends on the severity of biceps tendon pathology, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients with biceps tendon-related conditions, the approximate cost of arthroscopic biceps tenodesis / tenotomy ranges between ₹80,000 and ₹1,60,000.
| Procedure | Approximate Cost Range |
|---|---|
| Arthroscopic Biceps Tenodesis / Tenotomy | ₹80,000 – ₹1,60,000 |
The final cost may vary depending on your individual condition, findings during evaluation, type of procedure performed, and whether any additional procedures are required.
Factors That Influence Arthroscopic Biceps Tenodesis / Tenotomy Cost
The overall cost may depend on:
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Severity of biceps tendon pathology: The extent of tendon damage, inflammation, degeneration, associated shoulder conditions, and impact on function may influence treatment planning.
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Pre-operative evaluation: Required investigations, clinical examination, X-rays, MRI scans, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as rotator cuff repair, labral repair, subacromial decompression, or other arthroscopic interventions are required along with biceps treatment, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, physiotherapy, rehabilitation plan, and follow-up requirements may influence the final estimate.
Is Arthroscopic Biceps Tenodesis / Tenotomy Covered by Insurance?
Arthroscopic biceps tenodesis / tenotomy may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Hitesh Bathini
Orthopaedic Surgeon
During consultation, Dr. Hitesh Bathini, Orthopaedic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether arthroscopic biceps tenodesis / tenotomy is suitable for you. He will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.