This narrative review from Rush University covers the full clinical spectrum of LHB tendinopathy — from inflammatory tendinitis to degenerative tendinosis — addressing relevant anatomy, pathophysiology, diagnostic workup, and both nonsurgical and surgical treatment options including tenotomy and multiple tenodesis techniques.
When you encounter anterior shoulder pain, treat the biceps as a window into broader shoulder pathology — isolated LHB disease is the exception, not the rule, so always evaluate for concurrent rotator cuff and labral pathology.
For active patients under 40 or those concerned about cosmesis, favor tenodesis with distal interference screw fixation; reserve tenotomy for older or lower-demand patients who cannot tolerate the rehabilitation.
This narrative review from Rush University covers the full clinical spectrum of LHB tendinopathy — from inflammatory tendinitis to degenerative tendinosis — addressing relevant anatomy, pathophysiology, diagnostic workup, and both nonsurgical and surgical treatment options including tenotomy and multiple tenodesis techniques.
When you encounter anterior shoulder pain, treat the biceps as a window into broader shoulder pathology — isolated LHB disease is the exception, not the rule, so always evaluate for concurrent rotator cuff and labral pathology.
For active patients under 40 or those concerned about cosmesis, favor tenodesis with distal interference screw fixation; reserve tenotomy for older or lower-demand patients who cannot tolerate the rehabilitation.