Fig. 4.

Demonstrates senior authors preferred technique for arthroscopic biceps tenodesis. (Left to right) a): Arthroscopic view of the right shoulder demonstrating a socket being drilled with a cannulated reamer in the floor of the bicipital sulcus in the suprapectoral area. The LHB has been displaced medially (arrow) after placing a marker suture at the level of the socket. b) LHB has been exteriorised and prepared by placing a whip-stitch with high grade abrasion-resistant suture. The black and white marker suture denotes the level of the tendon, which will lie at the mouth of the socket. c) The LHB is fixed in the socket with an interference screw. One strand of the whip-stitch in the LHB is passed though the screw and tied to the other strand thus reinforcing the fixation. The marker suture comes to lie at the edge of the socket thus confirming maintenance of the length-tension relationship.