There was only one low strength investigation that looked at biceps tenodesis at the time of total shoulder arthroplasty for primary osteoarthritis. As biceps tendon pathology has been associated with pain in patients with osteoarthritis, we believe that clinicians can consider an adjunct biceps tenodesis or tenotomy at the time of shoulder arthroplasty.
Strength of Evidence (quality of evidence): No reliable evidence
Future Research:
High quality evidence is needed to evaluate if improved clinical outcomes are associated with biceps tenodesis or tenotomy at the time of shoulder arthroplasty.