Chinese Knot Stitch Technique: A Simple Technique for Arthroscopic Biceps Tenodesis

Lesions of the long head of the biceps tendon are commonly associated with shoulder pain and functional impairment. Surgical treatment through tenodesis has proven to be effective, but there is no consensus on the optimal technique. In this study, we present an all-arthroscopic biceps tenodesis technique inspired by the Chinese knot. This technique is relatively simple for experienced arthroscopic surgeons and has a short learning curve. It provides superior gripping strength to the biceps tendon through a double-locking suture loop, restoring its length-tension relationship.