Review ArticlesSubpectoral Biceps TenodesisProvencher, Matthew T. MD, LCDR, MC, USN*; LeClere, Lance E. MD, LT, MC, USN*; Romeo, Anthony A. MD†Author Information *Naval Medical Center San Diego, San Diego, CA †Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL Anthony A. Romeo was the consultant and supported by Arthrex Inc, FL. Reprints: Matthew T. Provencher, MD, LDCR, MC, USN, Department Orthopaedic Surgery, Naval Medical Center San Diego, 34800 Bob Wilson Dr Ste 112 San Diego, CA 92134-1112 (e-mail: firstname.lastname@example.org). The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States government. Sports Medicine and Arthroscopy Review: September 2008 - Volume 16 - Issue 3 - p 170-176 doi: 10.1097/JSA.0b013e3181824edf Buy Metrics Abstract The long head of the biceps brachii (LHB) tendon has long been recognized as a source of shoulder pain. Surgeons have debated the merits of tenotomy versus tenodesis, open versus arthroscopic approaches, and various fixation methods. This article reviews the clinical findings associated with LHB pathology, describes the operative technique of subpectoral biceps tenodesis, and reviews the current literature related to treatment of the symptomatic LHB tendon. The miniopen subpectoral approach is technically less demanding than purely arthroscopic techniques, and offers the potential for improved pain relief without cosmetic deformity by removing most of the LHB and its associated tenosynovium. As the literature on the topic continues to grow, subpectoral biceps tenodesis has emerged as an effective treatment for pathology of the LHB. © 2008 Lippincott Williams & Wilkins, Inc.