All-Arthroscopic Biceps Tenodesis by Knotless Winding Suture

Biceps tenodesis techniques can use a large-caliber interference screw, a suture anchor, or a knotless anchor. This report describes a tenodesis technique that is easy to perform and does not require any knotting. Before penetration of the tendon with the tip, a No. 2 nonabsorbable braided suture is passed through the lumen of the hook-like instrument. The use of only 1 hooking maneuver through the tendon can allow the winding of the whole tendon. The eyelet of a knotless anchor (Bio-PushLock; Arthrex, Naples, FL) with 2 ends of the suture is inserted into the bone hole at the bicipital groove.