Subpectoral biceps tenodesis: a new technique using an all-suture anchor fixation

Wei Ren Su, Florence Y. Ling, Chih Kai Hong, Chih Hsun Chang, Cheng Li Lin, I. Ming Jou

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)


There are several options for LHB tenodesis; yet, there is no standard of care. This technical note describes an extramedullary all-suture anchor technique for LHB tenodesis that is similar to the extramedullary cortical button technique. The LHB tenodesis is performed by using the Y-Knot (1.3-mm; ConMed Linvatec, Largo, FL).The biceps tenotomy is completed arthroscopically, and a standard subpectoral approach is used for the tenodesis. A reamer is first used to drill through the anterior cortex of the humerus; subsequently, a 1.3-mm drill bit is used to drill through the posterior cortex. The Y-Knot anchor is passed through the bone tunnel and secured on the posterior cortical bone. A modified rolling hitch suture is placed 10 mm distal to the end of the LHB tendon by using one suture limb of the Y-Knot anchor. The other suture limb is pulled to shuttle the LHB tendon into the humerus, and the construct is fixed by tying down one limb to the other. This technical note describes an alternative method for subpectoral biceps tenodesis and uses a small drill hole, conserves bone, and minimizes trauma to the tendon.

Level of evidence V.

Original languageEnglish
Pages (from-to)596-599
Number of pages4
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Issue number2
Publication statusPublished - 2015 Feb

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine


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