Review ArticlesThe Proximal Biceps Tendon: Tricks and PearlsBusconi, Brian B. MD* †; DeAngelis, Nicola MD* †; Guerrero, Patrick E. DO†Author Information *Department of Orthopedics, U-Mass Medical School †Sports Medicine Fellowship Program, U-Mass Medical Center, Worcester, MA Reprints: Brian B. Busconi, MD, U-Mass Memorial-Hahnemann Campus, Orthopedic Surgery, 281 Lincoln Street, Worcester, MA 01605 (e-mail: BusconiB@ummhc.org). Sports Medicine and Arthroscopy Review: September 2008 - Volume 16 - Issue 3 - p 187-194 doi: 10.1097/JSA.0b013e318183c134 Buy Metrics Abstract The diagnosis and treatment of proximal biceps tendon injuries continue to be a challenge. The difficulty lies on determining if there is isolated biceps pathology versus concomitant rotator cuff tears or instability. Imaging modalities, such as magnetic resonance imaging, continue to provide us with the extra tool to help us confirm our suspicion of additional pathology. Symptomatic biceps tendon tears can undergo debridement, tenotomy, or tenodesis if nonoperative measures fail to provide relief. Reports from performing a biceps tenotomy often give similar functional outcomes compared with tenodesis. Cosmetic deformity on the lateral arm may be noted with tenodesis and initial fatigue. Tenodesis may subject the patient to a longer rehabilitation process and increased pain. The decision of which one should be performed lies between the physician and the patient's expectations. © 2008 Lippincott Williams & Wilkins, Inc.