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Biceps tenotomy versus tendinitis.

Joint Replacements | Last Active: Oct 24 6:13am | Replies (4)

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Hi Shark - and thanks for helping me realize I am not going crazy!

I'm 71 and my surgeon never talked about severing and not reattaching the long biceps tendon during my aTSR. I talked to him afterward, because I do have a slight popeye bulge, and he said the osteoarthritis on and around the head of my humerus had shredded the long bicep tendon. And the place where it attaches, the supra glenoid - literally "above the glenoid socket" wasn't there after the surgery, so much bone had been removed, and the glenoid was now made of plastic. There wasn't much of the tendon left to attach and the attempt was likely to fail. And I had my subscapularis detached for the surgery, and then stitched back on the scapula and humerus, and I'm still healing.

Bottom line, my surgeon could have tried to reattach the tendon lower on the humerus, but it was unlikely to heal properly and he had to make the decision with me under. I can live with that. I've had both knees replaced and my right hip, and the surgeon doesn't really know what's inside until he looks.

I'm an endurance guy (former marathoner, now I do HIIT/spin 5-6x/week. I don't need strong biceps for that, but I do like for my muscles to have definition. And two months after surgery, I'm doing 10 lb bicep curls, and all that pain pre-op is gone. That's a quick recovery. I will lose a small amount of strength in that arm, but should be able to return to almost all of my pre-op resistance training.

I truly appreciate you explaining what it takes to reattach a severed tendon, and where it started and where it can be reattached. I'm going to live with the popeye bulge (I'm pretty thin but have good muscle definition - resistance training 3x/week). And to appease my vanity, and while wearing a short sleeve t-shirt, the popeye bicep looks pretty good! With my arms hanging at my side, it's very hard to notice. And again, no pain.

But thanks again Shark. Your response was exactly what I was looking for, and from someone who clearly understands shoulder anatomy. Much appreciated, friend.

Joe

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Replies to "Hi Shark - and thanks for helping me realize I am not going crazy! I'm 71..."

@heyjoe415 It is my pleasure to recite my procedure and contribute what I can. Indeed in my case too it was the osteoarthritis that my tendon got ground into day after day, that frayed my LHB tendon. It also sounds like you had an excellent surgeon who is very good at "thinking on his feet" and went with the best solution given the circumstances. Good luck and good healing to you.