TechniquesIn Situ Subpectoral Biceps Tenodesis With a Cortical ButtonBosley, Jacob MD*; Schnaser, Erik MD*; Shishani, Yousef MD*; Goodfellow, Donald MD*; Gobezie, Reuben MD†Author Information *Department of Orthopaedic Surgery †Department of Orthopaedic Surgery, The Case Shoulder and Elbow Service, Case Western Reserve University, University Hospitals Case Medical Center, Cleveland, OH The authors did not receive any outside funding or grants in support of their research or for preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated. Reprints: Reuben Gobezie, MD, Department of Orthopaedic Surgery, Case Western Reserve University, University Hospitals Case Medical Center, 11100 Euclid Ave, Han6, Cleveland, OH 44106 (e-mail: [email protected]). Techniques in Shoulder and Elbow Surgery: September 2009 - Volume 10 - Issue 3 - p 91-93 doi: 10.1097/BTE.0b013e3181a94599 Buy Metrics Abstract The proximal portion of the long head of the biceps has become a recognized cause of significant shoulder pain. Tenodesis of the long head of the biceps has been advocated as treatment for pain resulting from biceps tendonopathy, biceps instability, and bicep tendon tears. Several techniques have been described for this tenodesis, including various arthroscopic and subpectoral methods. We present here a novel technique in which the biceps tendon is tenodesed in a subpectoral manner. Although subpectoral biceps tenodesis has been described before, the method described here allows for in situ fixation of the long head of the biceps tendon using a cortical button. This method allows for the fixation of the biceps at its resting length while causing minimal disruption of the cortex of the humerus. Illustrations, photos, and a detailed description of the technique are provided. © 2009 Lippincott Williams & Wilkins, Inc.