Biceps tenodesis & tenotomy
Biceps tenodesis and biceps tenotomy are two similar surgical procedures used to treat chronic pain and tendonitis in the long head biceps tendon. It may also be used to treat SLAP tears.
Tenodesis involves cutting the biceps tendon and attaching it to the upper arm bone, whereas tenotomy involves severing the tendon and letting it retract back into the arm. Both procedures have benefits and disadvantages, and your Orthopaedics SA surgeon will recommend one based on your lifestyle needs and recovery goals.
Tenotomy has a higher risk of Popeye deformity (where the biceps muscle bulges) and muscle spasms after recovery. However, it is also quicker to perform and has a shorter average recovery period.
You may be able to undergo biceps tenotomy after a failed biceps tenodesis, though a successful tenodesis following a tenotomy is unlikely.