Should long head of biceps tenodesis or tenotomy be routinely performed in arthroscopic rotator cuff repairs?

Abstract

The long head of the biceps tendon (LHBT) lesions are frequently associated with partial or complete rotator cuff tears (RCTs), but controversy revolves around their optimal surgical management. Hence this article aims to review the current literature available on the role of biceps surgery in rotator cuff surgery and whether it should be routinely performed in rotator cuff repairs. Furthermore, we also discuss the advantages and drawbacks of tenotomy or tenodesis of LHBT in rotator cuff surgery. We conclude this article with recommendations for surgeons performing rotator cuff repairs and future research in this area.