Fig 3.

Realization of the long head of the biceps (LHB) tenotomy with a patient in supine position. The anterior and inferior aspect of the patient's body is given. The section is performed through the rotator cuff tear using an anterior portal when it is possible with the arthroscope positioned in the lateral portal. A tenodesis of the LHB can also be performed using the same procedure. The management of the LHB tendon is not more difficult for the surgeon on a patient in supine position than with a patient in the beach chair or the lateral decubitus position. The arms of the surgeon remain low, which leads to less fatigability during the procedure. View with the arthroscope through the lateral portal.