20Shoulder Care
AC Joint Injuries
Arthritis
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
Osteoarthritis
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
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

BICEPS TENODESIS

The biceps muscle and tendon unit is responsible for elbow flexion and supination (a type of rotation). The biceps muscle is located in the upper arm. There are two tendons that attach to the biceps muscle, the long head and the short head. The long head of the biceps tendon originates from the glenoid bone and labrum inside the shoulder joint. This part of the biceps is very susceptible to inflammation (tendinitis) and partial tearing. When the tendon is torn or is inflamed, it can lead to pain with certain overhead and lifting activities.

In those patients who require surgery, Dr. Keller may perform a biceps tenodesis. During this procedure, Dr. Keller uses a minimally-invasive approach and releases the damaged long head of the biceps tendon from its insertion point inside the shoulder. Next, Dr. Keller makes a small incision in the armpit and pulls the released biceps tendon through the incision. Dr. Keller then uses a strong device to attach the tendon to the humerus bone well below the shoulder joint. Dr. Keller tensions the tendon appropriately prior to securing it to the bone. Multiple clinical studies have demonstrated that a biceps tenodesis usually relieves pain in those patients with biceps tearing, tendonitis, or with SLAP tears.

Post-Operative Rehabilitation

Following surgery, patients are given a sling for comfort. Dr. Keller recommends intermittent icing and gentle range of motion following surgery. Dr. Keller also recommends starting physical therapy approximately two weeks after surgery. Physical therapy focuses on reducing swelling in the shoulder, restoring full range of motion, and maintaining strength in the shoulder.