Everything you need to know about your shoulder procedure
How is the bicep fixed?
The type of tear and patients age and activity level play a large role in determining the proper treatment. In general, there are 3 main options if a tear develops.
1. Labral repair: If the biceps is torn at its anchor, this is called a SLAP tear. The labrum can be reattached directly to the glenoid.
2. Biceps Tenodesis: If the tear of the biceps is at the anchor (SLAP tear) or is torn lower in the bicipital groove, a tenodesis can be performed. This is performed by cutting the tendon from its attachment point and relocating it lower in the shoulder, below the bicipital groove.
3. Biceps tenotomy: This is performed if the tendon is in very poor condition and is unable to be relocated effectively due to its deterioration.
What is the biceps and how could i have a tear?
Just as a bicycle has two wheels, the biceps has two attachment points in the shoulder (short and long head). Contrary to popular belief, the primary function of the biceps is supination of the forearm rather than flexion. The short head of the biceps attaches to the coracoid and is rarely torn. The lateral aspect of the biceps tendon (long head) travels upward through the intertubercular sulcus and attaches inside the shoulder, to the top of the labrum. The long head is a frequent cause of shoulder pain. A biceps tear can occur at its anchor point (SLAP tear) or within the bicipital groove. Each time our shoulder is moved, the excursion through the groove is significant, and this can lead to tearing. If a SLAP tear develops, this can cause deep shoulder pain. Tearing within the groove can cause pain anteriorly within the shoulder with any type of forward flexion of the shoulder. If a tear develops in the shoulder, come see Dr. Drake at Level Up Shoulder.
Dr. Drake has performed thousands of successful biceps surgeries, won the American Shoulder and Elbow Surgeon’s prestigious Neer Award, graduated the summa cum laude, and has written for major medical journals such as The Journal of Shoulder and Elbow Surgeons. With Dr. Drake, you’ll learn what it means to have a pain-free shoulder in Chicago and the Chicagoland area.