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Biceps Tenodesis
Indications for operation:
Rupture of the long head of biceps causing pain which has not responded to conservative treatment

Anaesthetic:
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)

Operation type:
Open

Incisions:
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).

Procedure:
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".

A small tube (catheter) will be inserted into the joint at the end of the procedure. This is connected to a pump which will place local anaesthetic into the joint for 48 hours afterwards.

Wound Closure:
A single long dissolving stitch under the skin and paper stitches over the top will be used to close the wound.

Dressings:
Elastoplast dressings will be placed over the top of the paper stitches and an adhesive bandage over the top of this.

Immediate aftercare:
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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