Ruptures of the long head of the biceps tendon (LHBT) usually occur in patients with intrinsic tendon degeneration and concomitant rotator cuff tears. Even though nonoperative management is successful in most patients, some patients may suffer from persistent symptoms such as weakness, pain, cramping, and cosmetic deformity. The same symptoms may arise after a surgical biceps tenotomy or after a failed biceps tenodesis. A variety of techniques for biceps tenodesis have been described, including both open and arthroscopic technique with multiple fixation sites and devices.