Mazzocca et al. subpectoral mini-open biceps tenodesis. A, Skin incision. B, Location of biceps tendon made by dissecting through superficial fascia using blunt dissection to palpate tendon. C, Probe is used to withdraw tendon from joint and out of incision. D, To ensure appropriate tensioning, 20 mm of diseased portion of tendon is excised. E, Guidewire is placed in center of bicipital groove, usually at junction of middle and distal thirds of intertubercular groove between lesser and greater tuberosities. A 7- or 8-mm acorn reamer is placed over this and reamed to 15 to 20 mm. F, Suture is placed through Arthrex Bio-Tenodesis driver, and one suture is left out. G, Bio-Tenodesis screw inserted into bone tunnel, and suture that was left out of driver is tied to suture that is in cannulated portion of tenodesis screw. H, Musculotendinous junction rests in its anatomic location underneath inferior border of pectoralis major tendon.