Table 1.

Advantages and Limitations

Advantages

Simplified search for the intertubercular ligament in the subacromial space, marked with a spinal needle from the joint cavity

Optimal visualization of the bicipital sulcus and the tenodesis zone

Maintaining the balance of tension of LHBT by temporary fixed spinal needle or wire below the tenodesis zone

No need to extract the tendon onto the skin surface to prepare for fixation

Stratographic arrangement of neurovascular bundles significantly reduces the risk of damage

Limitations

Severe degeneration and dislocation of the proximal part of LHBT

Severe osteoporosis of proximal humerus

LHBT, long head of the biceps tendon.