TechniquesArthroscopically Assisted Mini-Open Transdeltoid Biceps Tenodesis Surgical Technique and Preliminary ResultsJancosko, Jason J. MPT, DO; Duggan, Daniel P. DO; Nottage, Wesley M. MDAuthor Information The Sports Clinic Orthopaedic Medical Associates Inc., Laguna Hills, CA The authors declare no conflict of interest. Reprints: Jason J. Jancosko, MPT, DO, The Sports Clinic Orthopaedic Medical Associates Inc., 23961 Calle de la Magdalena, Suite #229, Laguna Hills, CA 92653 (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: September 2013 - Volume 14 - Issue 3 - p 69-72 doi: 10.1097/BTE.0b013e318297c451 Buy Metrics Abstract Tenodesis of the proximal biceps can involve either a very proximal or more distal reattachment by a variety of fixation methods, using soft tissue or bony fixation. Long-term studies have suggested that both tenodesis and tenotomy have successful long-term results. Tenodesis distal to the intertubercular groove of the proximal humerus has the advantage of relieving pain from potential bicipital groove tenosynovitis or osteophytes and can be performed through a mini-open incision. This study describes a novel technique for performing biceps soft-tissue tenodesis to the anterior deltoid at its humeral attachment, outside the bicipital groove. We also provide results of this procedure in a series of our patients. © 2013 by Lippincott Williams & Wilkins, Inc.