دليل الإجراء

Biceps Tenodesis

Taking the pain out of the biceps tendon.

The long head of the biceps is a common and often overlooked source of front-of-shoulder pain. Tenodesis detaches it from inside the joint and fixes it outside, relieving pain while keeping strength.

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3D Animation (1:04)Watch how a biceps tenodesis is performed

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شاهد. افهم. اطمئن.

1:04

Biceps Tenodesis — 3D Animation

شاهد كيفية إجراء العملية خطوة بخطوة في هذا الفيديو التوضيحي.

0:58

Tenodesis Technique (Real Footage)

For medical professionals: the surgical technique of a biceps tenodesis, step by step.

للأطباء والمختصين

1:12

Recovery After Biceps Tenodesis

When biceps loading is allowed again, and how the arm strengthens back up.

بالمنظار

جراحة اليوم الواحد

40–60 Minutes

Pain Relief

عرض كل الفيديوهات

خطوات العملية (نظرة عامة)

Dynamic Assessment

The tendon is inspected inside the joint and pulled into view.

Release

The inflamed intra-articular portion is released at its origin.

Site Preparation

The fixation site on the humerus is prepared.

التثبيت

The tendon is secured with a screw, anchor or soft-tissue technique.

Associated Pathology

Cuff, labrum or impingement problems are treated in the same session.

الجدول الزمني للتعافي (خطوة بخطوة)

الأسبوع ١–٢Sling for comfort · Passive motion · Avoid active biceps use

الأسبوع ٢–٤Active-assisted motion · Sling discarded

الأسبوع ٤–٨Active motion · Light strengthening, no heavy curling

الشهر ٢–٤Progressive biceps and cuff loading

الشهر ٤–٦Full strength work and return to sport*

نظرة عامة

A degenerate or unstable biceps tendon produces persistent pain at the front of the shoulder that injections relieve only temporarily. Tenodesis addresses the cause.

Because the tendon is reattached rather than simply cut, arm contour and supination strength are preserved — an important difference from a simple tenotomy.

Is a biceps tenodesis right for you?

Front-of-shoulder pain localised to the biceps groove
Tendon inflammation, instability or partial tearing on MRI
A SLAP lesion in patients better served by tenodesis than repair
Biceps pathology found during another shoulder procedure

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الاستعداد للعملية

Targeted diagnosisExamination and injection response help confirm the source of pain
Discuss the optionsTenotomy is simpler but may cause cramping and a contour change
تجهيز حمّالة الذراعUsed mainly for comfort in the first two weeks
Plan the rehabBiceps loading is restricted for around six weeks

”

The biceps tendon is one of the most underestimated pain generators in the shoulder. When examination, imaging and injection all point at it, a tenodesis gives remarkably clean, predictable relief.

د. يوسف محمد

استشاري جراحة العظام

Questions & Answers

Will I lose arm strength?

Elbow flexion and supination strength are preserved because the tendon is reattached rather than removed.

What is the difference to a tenotomy?

A tenotomy simply releases the tendon — quicker, but with a risk of cramping and a visible bulge. Tenodesis reattaches it and avoids both.

Will there be a bulge in my arm?

Popeye deformity is a risk of tenotomy, not of a proper tenodesis.

How long before I can lift again?

Light activity from four weeks; loaded biceps work from around six to eight weeks and full lifting by four months.

Is it usually combined with other surgery?

Yes, very often with cuff repair or subacromial decompression, as the problems commonly coexist.

Will the pain definitely go?

Relief is high when the diagnosis is accurate — which is why we confirm the tendon is the source before operating.

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