Management of proximal biceps tendon pathology

Table 1 Comparison of biceps tenotomy versus biceps tenodesis

	Biceps tenotomy	Biceps tenodesis
Timing and cost	Quicker, shorter procedure with a lower cost	Technically more challenging with a longer surgical and rehabilitation time as well as a higher cost
Patient population	Symptomatic patients with biceps tenosynovitis > 60 yr of age, individuals with lower demand occupations, those with minimal cosmesis concerns	Symptomatic athletic patients, individuals with higher demand occupations, those with cosmesis concerns
Complications	Postoperative Popeye deformity, muscle belly cramping, discomfort and fatigue	Risk of infection, loss of fixation and recurrence of Popeye deformity, implant failure