Table 2.

Step-by-Step Surgical Procedure

1. Hold the LHB in the joint with a suture, and then detach the LHB from the superior labrum.

2. Pull the LHB out of the joint and bicipital groove to the anterior subdeltoid space and then out of the anterodistal portal.

3. Braid the LHB with 3 high-strength sutures.

4. Create a glenoid tunnel.

5. Pass a guide suture through the glenoid tunnel from posterior to anterior and then through the subscapularis to the anterior side.

6. Find the guide suture at the anterior side of the subscapularis and pull it laterally to near the bicipital groove.

7. Put the braiding sutures through the loop of the guide suture and pull the braiding sutures through the subscapularis and glenoid tunnel and then out of the posterior portal using the guide suture.

8. Pull the LHB through the subscapularis and into the glenoid tunnel.

9. Tie the braiding sutures onto a miniplate placed over the posterior orifice of the glenoid tunnel.

LHB, long head of the biceps.