Dr. Jonathan Ticker joins members of the American Shoulder and Elbow Surgeons’ 53rd Annual Meeting. In this training talk, Dr. Ticker discusses his approach to the biceps, including arthroscopic techniques.
Here is a summary of the video: In this presentation from the AAOS Annual Meeting, the speaker shares a detailed look at how he approaches biceps tendon pathology, both as an isolated issue and when combined with rotator cuff tears. After acknowledging mentors and collaborators who shaped his career, he walks through the full spectrum of treatment options—including tenotomy, various forms of tenodesis, and soft-tissue techniques—highlighting when and why each is used.
Throughout the talk, he explains clinical factors that influence decision-making, such as patient age, activity level, and personal preference. He also reviews evidence comparing tenotomy and tenodesis outcomes, demonstrates multiple arthroscopic methods with video examples, and discusses how to reliably identify the bicipital groove during surgery. Several real surgical cases illustrate different fixation strategies, from suprapectoral socket tenodesis to integrating the biceps into a cuff repair when appropriate.
The presentation concludes with a practical framework for choosing the right biceps treatment based on the severity of pathology and the presence of accompanying shoulder injuries. Overall, this is an in-depth, technically rich guide to modern surgical management of biceps tendon problems.