Abstract
We know little regarding the long head of the biceps tendon's function but it is generally felt that it serves as a humeral head stabiliser by resisting superior migration during shoulder elevation. In total shoulder arthroplasty (TSA) the long head tendon is most commonly tenodesed as some have reported post-operative pain generated from an intact long head tendon.
How does tenotomy or tenodesis of the long head tendon after TSA effect superior translation of the humeral head? We do not know the answer to this or if this increased tension causes any increase in subscapularis tendon failure. This will be presented as a possible reason to not remove the long head tendon of the biceps during TSA.
