Subpectoral biceps tenodesis using a novel anterior cortical button technique

Background Various surgical treatments are described in the literature for biceps pathology. Method The techniques currently described for subpectoral tenodesis involve the use of suture anchors, interference screws, bicortical suture buttons or unicortical suture buttons. Results A review of 31 patients with a subpectoral biceps tenodesis using the anterior cortical button technique is presented. Conclusions We describe a novel technique, which provides an opportunity to obtain a robust cortical and intramedullary tenodesis, performed under direct vision without the risk of drilling the far cortex and therefore avoiding any potential for neurological injury. There is no cortical implant, which may lead to a diaphyseal stress riser and subsequent fracture risk.