6
SUBPECTORAL BICEPS
TENODESIS SURGICAL TECHNIQUE
Tendon Preparation
1a
1b
Make an incision on the medial aspect of the arm 1 cm below the pectoralis major tendon. Dissect
and retract the underlying tissue, exposing the bone inferior to the pectoralis. Isolate and retrieve the
biceps tendon out of the incision. With the elbow in full extension, apply appropriate tension to the
biceps and mark where the tendon is level with the desired insertion site. Whipstitch proximal to this
marking using QuikWhip™ #2 Surgical Suture and trim off excess tendon. Using the Soft Tissue
Sizer, measure the diameter of the graft. Select the Implant with a diameter that matches the
diameter of the tendon. See Appendix A for detailed tendon, bone tunnel, and Implant sizing
information.
Pearl #1. Whipstitch the tendon to a length matching desired tunnel depth to provide a visual marker that the tendon is
fully seated in the tunnel.
Tunnel Preparation
2a
2b
Just inferior to the pectoralis major tendon, drill the 2.4 mm Drill Tipped Passing Pin to the desired
socket depth, measured directly from the lasermarks on the Passing Pin. Drill over the Passing Pin
with a Cannulated Reamer 1 mm larger than the diameter of the tendon. Refer to Appendix A for
complete tendon, bone tunnel, and Implant sizing information.