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. 2013 May 23;2(2):e191–e196. doi: 10.1016/j.eats.2013.02.005

Table 1.

Summary of Main Steps and Associated Key Points to Complete Described Subpectoral Biceps Tenodesis Procedure

Steps Key Points
Arthroscopic biceps tenotomy Perform intra-articular visualization of biceps tendon and superior labrum to assess need for biceps tenodesis procedure
Subpectoral incision with tendon isolation Place 3- to 4-cm incision about anteromedial proximal humerus, with superior extent of incision at inferior border of pectoralis major, and locate tendon deep within wound
Anchor site preparation and placement Perform anchor placement 1 cm proximal to inferior border of pectoralis major, in line with bicipital groove
Suture tendon and seat on anchor Begin suturing 1 cm adjacent to musculotendinous junction, and travel toward cut tendon end with 3 locked suture passes on either side of tendon