Intra-articular Double-Anchor Double-Loop Figure-of-Eight Transtendon Long Head of the Biceps Tendon Tenodesis

Tenodesis emerges as the gold standard for pathologic lesions of the long head of the biceps tendon. Various arthroscopic or open techniques have been described and intra-articular single-anchor methods may penetrate the tendon aggressively and decrease fixation strength. We describe an all-arthroscopic intra-articular double-anchor double-loop figure-of-eight transtendon tenodesis technique using all-suture anchors. This technique may balance tendon preservation with biomechanical stability—a critical trade-off in current surgical strategies.