{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:49:51Z","timestamp":1786632591468,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare failure rates and patient\u2010reported outcome measures (PROMs) across 5 arthroscopic, suprapectoral biceps tenodesis fixation techniques: tenodesis screw, tenodesis anchor, expanding tenodesis anchor, onlay with single all\u2010suture anchor, and soft tissue tenodesis in the bicipital groove with suture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective cohort study approved by the Institutional Review Board, including patients age 18\u2009years or older who underwent arthroscopic, suprapectoral biceps tenodesis between 2014 and 2024 with a minimum of 6\u2009months of clinical follow\u2010up. Exclusion criteria included cervical pathology, chronic pain syndromes, revisions, and workers' compensation cases. Patients completed PROMs including pain Visual Analog Scale (VAS), the American Shoulder and Elbow Surgeons (ASES) survey, the Simple Shoulder Test (SST), and a site\u2010specific questionnaire. Clinical failures were recorded from clinic notes. Statistics were calculated using JMP Pro 18.0.1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 351 patients were enrolled: 79 with tenodesis screw, 69 with tenodesis anchor, 74 with expanding tenodesis anchor, 55 with single all\u2010suture anchor, and 74 with soft tissue tenodesis. The average patient age was 61.7\u2009\u00b1\u20099.44\u2009years for females and 61.8\u2009\u00b1\u20099.49\u2009years for males. The average follow\u2010up was 4.70\u2009\u00b1\u20092.44\u2009years for females and 4.82\u2009\u00b1\u20091.77\u2009years for males. The clinical failure rate was 2.28% (n\u2009=\u20098: 2 females and 6 males) with no differences between fixation techniques (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.882). The overall rate of patient\u2010reported \u201cPopeye\u201d deformity was 4.84% (n\u2009=\u200917: 4 females and 13 males,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.130). PROMs, including pain VAS, ASES, and SST scores, were comparable across techniques (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.280, .201, .095, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients had similar outcomes regardless of arthroscopic, suprapectoral biceps tenodesis fixation technique. Approximately 1 in 20 patients reported a perceived \u201cPopeye\u201d deformity with longer\u2010term follow\u2010up of 5\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ars2.70040","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T11:32:54Z","timestamp":1779276774000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Failure Rates and Patient\u2010Reported Outcomes Are Similar Across 5 Arthroscopic, Suprapectoral Biceps Tenodesis Fixation Techniques"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6120-9022","authenticated-orcid":false,"given":"Senah E.","family":"Stephens","sequence":"first","affiliation":[{"name":"Macon and Joan Brock Virginia Health Sciences at Old Dominion University  Norfolk Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha M.","family":"Strohm","sequence":"additional","affiliation":[{"name":"Macon and Joan Brock Virginia Health Sciences at Old Dominion University  Norfolk Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael M.","family":"Shaughnessy","sequence":"additional","affiliation":[{"name":"Macon and Joan Brock Virginia Health Sciences at Old Dominion University  Norfolk Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0768-3962","authenticated-orcid":false,"given":"Katherine S.","family":"Worcester","sequence":"additional","affiliation":[{"name":"Jordan\u2010Young Institute for Orthopedic Surgery and Sports Medicine  Virginia Beach Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin F.","family":"Bonner","sequence":"additional","affiliation":[{"name":"Macon and Joan Brock Virginia Health Sciences at Old Dominion University  Norfolk Virginia U.S.A."},{"name":"Jordan\u2010Young Institute for Orthopedic Surgery and Sports Medicine  Virginia Beach Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"68","article-title":"Subpectoral biceps tenodesis","volume":"45","author":"Levy DM","year":"2016","journal-title":"Am J 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