Percutaneous biceps tenodesis using needle arthroscopy and regional anesthesia: the infinity technique

Biceps tendinopathy serves as a prevalent source of shoulder pain and functional limitation of the upper extremity. Biceps tenodesis has been shown to successfully alleviate pain, improve function, and avoid some of the negative outcomes associated with biceps tenotomy. Arthroscopic approaches to this procedure have become increasingly more common owing to the use of smaller incision sites, low complication rates, and advancements in device options and techniques for securing the freed end of the long head of the biceps tendon to the proximal humerus. The purpose of this article is to describe a percutaneous biceps tenodesis technique using needle arthroscopic instrumentation performed under regional anesthesia.