Fig 5.

While viewing from the lateral portal (right shoulder, lateral decubitus position), we work through the anterior portal to debride any soft tissue around the long head biceps tendon (LHBT) in the bicipital groove and any remaining tissue from the biceps pulley, which is usually already torn. Through this anterior portal, we debride the bicipital groove tissue as distally as possible and remove the transverse ligament. The mobility and integrity of this distal part of the LHBT can be tested. (LP, remnants of lateral pulley; TL, remnants of the transverse ligament).