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Biceps Tenodesis |
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Indications for operation:
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Rupture of the long head of biceps causing pain which
has not responded to conservative treatment
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Anaesthetic: |
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General Anaesthetic with an interscalene block. (You will be fully
asleep and a local anaesthetic injection into the side of the neck will numb the
nerves to the shoulder for post-operative pain relief)
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Operation type: Open |
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Incisions:
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An 5cm incision will be made in the in the axilla (armpit) just
under the edge of the pectoralis major muscle (the large muscle at the front of
the chest).
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Procedure:
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The muscles and tendons of the upper arm are moved to each side and the
ruptured (torn) end of the long head of biceps tendon is identified. The muscle
is freed as much as possible but it is usually not possible to restore it to its
pre-injury position. A small hole is drilled in the front of the humerus and the
tendon stump is secured into the hole using a special "interference screw". |
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Wound Closure: |
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A single long dissolving stitch under the skin and paper stitches
over the top will be used to close the wound.
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Dressings:
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Elastoplast dressings will be placed over the top of the paper stitches
and an adhesive bandage over the top of this.
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Immediate aftercare:
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You will wake up with a sling on the arm and your arm may feel
numb for the rest of the day. You can go home when you feel comfortable but will
need to wear the sling for 4 weeks
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