1. Long Head of the Biceps Tenodesis With Cortical Button Technique
Nimrod Snir, M.D., Mathew Hamula, B.S., Theodore Wolfson, B.S.E., Catherine Laible, M.D., Orrin Sherman, M.D. 
Arthroscopy Techniques 
Volume 2, Issue 2, Pages e95-e97 (May 2013)
DOI: /j.eats
Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
The cortical button is loaded after whipstitching of the tendon by passing a free suture end through the ipsilateral button hole away from the tendon and back through the contralateral hole toward the tendon. This is repeated with the other free suture end.
Arthroscopy Techniques 2013 2, e95-e97DOI: ( /j.eats )
Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
(A) The exposure of the biceps groove involves retraction of the deltoid and pectoralis muscle superolaterally with a Hohmann retractor and retraction of the short head of the biceps brachii and coracobrachialis muscle medially with an Army-Navy retractor. Vigorous retraction should be avoided with this retractor medially to protect the musculocutaneous nerve. (B) A unicortical drill hole is drilled at the distal biceps groove measuring slightly larger than the LHB tendon diameter.
Arthroscopy Techniques 2013 2, e95-e97DOI: ( /j.eats )
Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
Final fixation with the cortical button on the posterior humerus and the whipstitched LHB tendon shuttled through the humerus and then tied down with suture.
Arthroscopy Techniques 2013 2, e95-e97DOI: ( /j.eats )
Copyright © 2013 Arthroscopy Association of North America Terms and Conditions