20Shoulder Care
AC Joint Injuries
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Trochanteric Bursa Debridement
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”


The biceps muscle has two tendons that originate from the shoulder area: the long head and the short head. The long head of the biceps originates adjacent to the labrum from inside the shoulder joint, just above the socket (glenoid). The long head of the biceps helps stabilize the shoulder, particularly during overhead activity. Pitchers, volleyball players and other overhead athletes often develop injuries to the long head of the biceps and/or the labrum in the shoulder. Other individuals who commonly injure the biceps tendon include labrorers, recreational athletes, and weight lifters.


  • Crampy discomfort with certain shoulder motion
  • A sense of instability and weakness when throwing
  • Pain in the “front” of the shoulder

Diagnosis And Treatment

Dr. Keller considers each patient’s symptoms, as well as a detailed physical examination and x-rays to make the diagnosis. Dr. Keller usually orders an MRI or ultrasound if he is concerned about inflammation or tearing within the long head of the biceps tendon. Most patients with injury to the biceps tendon can be treated without surgery. Options include a physical therapy program, oral analgesics, as well as targeted injections (for example, a steroid injection). In those patients who fail conservative measurement, surgical options include biceps tenotomy (release of the long head) or biceps tenodesis (release of long head and re-insertion below the shoulder joint into the humerus).