Arthroscopic Biceps Tenodesis
A minimally invasive procedure to relieve pain by reattaching the biceps tendon
The biceps tendon connects the biceps muscle to the shoulder, playing a crucial role in shoulder movement and stability. When the tendon becomes damaged or inflamed, it can cause significant discomfort and impair shoulder function.
Common Reasons for Surgery
- Biceps tendonitis or inflammation.
- Partial tears of the biceps tendon.
- Shoulder pain related to instability of the biceps tendon.
- Combined conditions such as rotator cuff tears.
Goals of the Procedure:
- Reduce shoulder pain and discomfort.
- Stabilise the biceps tendon.
Improve shoulder strength and function.
Preparation for Surgery
Proper preparation is essential to optimise the outcome of the surgery.
Steps in Preparation:
- Pre-Surgical Consultation: Dr Ben McGrath will evaluate your shoulder condition using imaging studies like X-rays or MRIs and discuss your medical history and treatment options.
- Medication Adjustments: You may need to stop taking certain medications, such as blood thinners, before the surgery.
- Fasting Instructions: Avoid eating or drinking for a set period before the procedure.
- Optimising Health: Lifestyle changes such as smoking cessation and maintaining a healthy weight may improve surgical outcomes.
What Happens During the Surgery?
Biceps tenodesis is typically performed as a minimally invasive procedure.
Surgical Steps:
- Anaesthesia: General anaesthesia or a regional nerve block is used to ensure comfort.
- Arthroscopy: Small incisions are made to insert the arthroscope and surgical instruments.
- Tendon Stabilisation: The damaged portion of the biceps tendon is removed, and the remaining tendon is anchored to the upper arm bone (humerus) using sutures or screws.
- Closure: The incisions are closed, and a sterile dressing is applied.
The surgery usually takes around 1 to 2 hours, depending on the complexity of the condition.
Understanding the Risks
As with all surgical procedures, there are potential risks to consider.
Common Risks:
- Temporary swelling or bruising around the surgical site.
- Shoulder stiffness or discomfort during early recovery.
Rare but Serious Risks:
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Persistent symptoms or failure to improve.
Dr McGrath will take every precaution to minimise these risks and ensure a safe procedure.
What to Expect After Surgery
Immediate Post-Operative Care:
- Pain is managed with medications and cold therapy.
- A sling may be used to protect the shoulder and allow healing.
- You will receive instructions on caring for your shoulder and recognising signs of complications.
Discharge Instructions:
- Follow guidelines for wound care, activity restrictions, and prescribed medications.
- Arrange follow-up appointments to monitor your recovery progress.
Rehabilitation and Recovery
Recovery from biceps tenodesis involves a phased rehabilitation program.
Phase 1: Early Recovery (Weeks 0–6):
- Focus: Protecting the surgical site and managing pain.
- Activities: Limited movement with the use of a sling.
Phase 2: Intermediate Recovery (Weeks 6–12):
- Focus: Restoring range of motion and beginning light strengthening exercises.
- Activities: Guided physiotherapy sessions.
Phase 3: Advanced Recovery (Months 3–6):
- Focus: Regaining full strength and returning to normal activities.
- Activities: Progressive physiotherapy and resumption of daily tasks.
Long-Term Outcomes
Biceps tenodesis may provide lasting relief and improved function for patients with biceps tendon issues.
Expected Improvements:
- Reduced shoulder pain and discomfort.
- Improved stability and range of motion in the shoulder.
- Enhanced ability to perform everyday tasks and physical activities.
Maintenance of Results:
Regular follow-ups with Dr McGrath, adherence to a physiotherapy program, and maintaining a healthy lifestyle can help prolong the benefits of surgery.