Optimizing Length-Tension Relationship Using Unicortical Button Fixation for Subpectoral Biceps Tenodesis

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Many techniques for tenodesis of the long head of the biceps tendon have been described in the orthopedic literature. However, few focus on restoring the native length-tension relationship of each patient’s individual anatomy and instead recommend fixing the tendon based on predetermined anatomic landmarks. We present a method of biceps tenodesis using a unicortical button, which allows for anatomic tensioning and dynamic adjustment of the tension by the surgeon based on intraoperative observation.

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