Arthroscopic biceps tenodesis using interference screw: End-tunnel technique

The conflict between tenotomy versus tenodesis for biceps lesions of the shoulder has not been resolved. We, however, believe that tenodesis is the treatment of choice until proven otherwise. Hence our department has been performing arthroscopic tenodesis for biceps subluxation or partial tears that involved over 50% of its diameters. We introduce our technique of arthroscopic biceps tenodesis in which the biceps tendon is fixed in the sequentially enlarged bony end-tunnel using bioabsorbable interference screws without transosseous drilling.