The "Anchor Shape" technique for long head of the biceps tenotomy to avoid the popeye deformity

A. Ali Narvani, Ehud Atoun, Alexander Van Tongel, Giuseppe Sforza, Ofer Levy

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Surgical options for symptomatic pathologies of the long head of the biceps (LHB) include tenotomy and tenodesis. Tenotomy is surgically simple and quick, does not require immobilization, and avoids implant complications. However, it is associated with residual "Popeye" muscle deformity and biceps muscle cramps. Tenodesis avoids Popeye deformity, but it is technically a more difficult operation with a longer rehabilitation period and possible implant complications. The purpose of this report is to describe a novel technique for LHB tenotomy that avoids the Popeye muscle deformity. Before releasing the LHB from its anchor over the superior labrum, this technique consists of making an oblique incision, involving 50% of the tendon, distal to its attachment at the superior labrum. A second standard complete tenotomy incision is made about 1.5 cm medial to the oblique incision. The remaining stump of the LHB at the tendon-labrum junction is resected. The first incision, an oblique incomplete incision, allows the remnant of the LHB to open up and form an "anchor shape" that anchors the LHB at the articular entrance of the bicipital groove, thus decreasing the risk of Popeye deformity.

Original languageEnglish
Pages (from-to)e167-e170
JournalArthroscopy Techniques
Issue number2
StatePublished - 1 May 2013
Externally publishedYes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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