A biceps reconstruction surgery helped an NYFD Battalion Chief get his shoulder strength back

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The shoulder joint is one of the most active joints in the body. Over time, ligaments in the shoulder can wear off, causing severe tears and painful experiences. The biceps tendons are tight stripes of tissue that connect shoulder muscles to bones and allow arm movement. When a tear occurs, arm movement can be limited and painful. Moreover, tendon tears, also known as biceps tenodesis, can cause a grinding sensation and unpleasant discomfort.

One of our recent patients had experienced all symptoms of biceps tenodesis. He has been overusing his shoulder in his work which, unfortunately, led him to a mild tear in his labrum. However, as an experienced shoulder specialist, Dr. Tehrany knew that the tear wasn’t the only problem.

After he thoroughly examined the patient and carefully listened to the patient’s symptoms, Dr. Tehrany recommended proceeding with biceps reconstruction surgery to repair the damage in the labrum.

The challenge of the biceps reconstruction

To provide detailed information on the flow of the biceps reconstruction, Dr. Tehrany recorded the surgery with the patient’s consent.

Once Dr. Tehrany inserted the arthroscope into the patient’s shoulder, he was astonished by the damage within the subacromial space. This space rests right above the shoulder’s ball-and-socket joint. As a result of the damage, Dr. Tehrnay had limited visibility to the biceps tendon and the tear.

“This is an FDNY Battalion Chief whose subacromial space is so badly damaged. I can’t see inside because this ligament (labrum) should normally look pristine, but he has got a lot of what is called bursitis,” explained Dr. Tehrany in the video.

Bursitis is inflammation within the joints. Together with the fraying of the joint, it created a challenging area for Dr. Tehrany to navigate.

To proceed with the biceps reconstruction, Dr. Tehrany decided to address bursitis first and clean the subacromial space to gain visibility.

“We’ll just clean this up, and we’ll clean up bursitis. We’ll take this bone spur and polish and smoothen it out to prevent him from getting problems in the future,” said Dr. Tehrany.

After he achieved visibility, Dr. Tehrany carefully reattached and secured the biceps tendon to the humerus before releasing the normal attachment on the shoulder.

Following the surgery, Dr. Tehrany worked on a recovery plan for the patient to ensure that his shoulder will be in its best shape for a long time. The attention and care Dr. Tehrany provides to his patients, along with his exceptional skills and knowledge, have earned Dr. Tehrany recognition as one of the most esteemed orthopedic surgeons in New York City.

For any problem with your shoulder, please schedule an appointment with Dr. Tehrany right away. Our locations at Manhattan and Staten Island are open. We take all preventive measures to provide a risk-free environment for our patients.