Treatment of Biceps Tendon Disease with Shoulder Arthroplasty
We are unable to recommend for or against biceps tenotomy or tenodesis when performing shoulder arthroplasty in patients who have glenohumeral joint osteoarthritis.
Rationale
Currently, some surgeons routinely sacrifice the biceps tendon at the time of arthroplasty and others preserve it, however these practice habits are either anecdotal or based on “experience”. Because of the paucity of the current body of literature and the variety of techniques used to address the biceps tendon at the time of shoulder arthroplasty, we are unable to support either routine biceps tenotomy or tenodesis. No studies of sufficient quality have been identified which examine TSA in patients with glenohumeral osteoarthritis with and without an intact rotator cuff.