Table 1.

Advantages and Disadvantages of LHBT Transposition for SCR

Advantages

The close proximity of the biceps tendon to the rotator cuff tear simplifies transfer and incorporation of the biceps tendon into the rotator cuff repair.

The donor-site morbidity associated with TFL autograft is avoided.

The operative time for bio-SCR technique is decreased compared with other SCR techniques.

The technique potentially provides an effective downward vector to aid in reducing superior head migration.

The technique is much less technically demanding and less expensive than allograft SCR.

The biceps tendon blood supply is not compromised and remains abundant in tenocytes and fibroblasts, thus likely improving the healing potential of the rotator cuff repair.

The technique obviates harvesting remote autograft tissue or using allograft tissue.

Disadvantages

The technique cannot be used if the LHBT is ruptured or very severely damaged.

The effects, if any, related to local biceps symptoms or biceps function have not been fully elucidated to date.

bio-SCR, biological superior capsular reconstruction; LHBT, long head of biceps tendon; SCR, superior capsular reconstruction; TFL, tensor fascia lata.