Skip to content
Orthopedics SA
← Orthopaedic information

CONDITION & TREATMENT GUIDE

Biceps tenodesis and tenotomy: a treatment guide

Surgical options for persistent pain associated with the long head of the biceps tendon.

A patient demonstrating shoulder movement during an assessment

About the procedure

Tenodesis releases the tendon from its shoulder attachment and secures it to the upper arm bone. Tenotomy releases it without reattachment.

Planning your treatment

The choice considers tendon damage, associated shoulder problems and your activity needs. Each option has different implications for rehabilitation, muscle shape and possible cramping.

Questions to discuss with your clinician

Use this guide to prepare for an individual discussion. The right next step depends on your diagnosis and circumstances.

  • What is the aim of this treatment in my situation?
  • What are the alternatives, including non-surgical care where appropriate?
  • Which risks matter most for my health and the planned procedure?
  • What preparation, rehabilitation and help at home might I need?
  • How will progress be reviewed, and who should I contact with concerns?

Common questions

What is the main difference?

Tenodesis reattaches the released tendon to bone. Tenotomy allows it to retract without that fixation.

How is the choice made?

Your surgeon will consider your symptoms, work, sport and goals, and explain the trade-offs between the procedures.