Patients with biceps tendon problems, including biceps tendonitis and SLAP tears, may require surgical treatment. When the biceps tendon needs treatment, two options include biceps tenodesis and biceps tenotomy.
In a biceps tenodesis, the attachment of the biceps is moved to relieve pressure on the injured tendon. Patients have a slightly longer rehab, but better function and a normal appearing biceps muscle.
Patients who have a biceps tenotomy have the injured biceps tendon cut. The rehab is easy because there are no restrictions on the patient. There may be some arm cramping associated with a biceps tenotomy, and the biceps muscle may look slightly abnormal. Deciding which procedure is best for you depends on a number of factors you can discuss with your doctor.