Fig. 1.

Open subpectoral LHB tenodesis. A guidewire is placed in the center of the intertubercular groove should be 1 cm proximal to the inferior border of the pectoralis major tendon. A 7- or 8-mm acorn reamer is then placed over this and reamed to approximately 25 to 30 mm. (Adapted with permission from “Subpectoral biceps tenodesis with interference screw fixation” by Mazzocca AD, Rios CG, Romeo AA, Arciero RA, 2005, Arthroscopy 2005; 21:896.e1-896.e7. Copyright 2005 by the Arthroscopy Association of North America.)