Long Head of the Biceps Pathology Combined with Rotator Cuff Tears

Table 1

Tenotomy versus tenodesis: advantages and disadvantages.

Tenotomy	Tenodesis
Advantages
Simple procedure	Length-tension relation maintenance
Well-tolerated	Normal elbow flexion
Less rehabilitation protocol	Normal supination power
Faster return to activity	Minimize cosmetic deformity; Avoid cramping pain
Disadvantages
Cosmetic deformity (Popeye sign)	Longer rehabilitation
Cramping	More demanding procedure
Fatigue pain	Low rates of failure fixation, humeral
Loss of supination strength	Shaft fractures, CRPS, infection