Table 1.

Tips

The tenotomy must be carried out proximally, at the insertion of the tendon to the labrum. The pathologic LHB is generally flattened. This morphology inhibits the intragroove migration of the tendon after it has been dissected. No sutures are needed to keep the tendon in an intra-articular position during tenotomy.

Tendon exteriorization is facilitated when the elbow is flexed and the forearm is supinated.

In case of a hypertrophic LHB, its proximal end is regularized using the No. 11 blade to facilitate its entrance into the tunnel.

The bio-tenodesis should be performed before any other act to avoid swelling of the shoulder.