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A biceps tenodesis may be performed as an isolated procedure but more often is part of a larger shoulder surgery, including rotator cuff repair .A recent study from Rush University Medical Center warns of including this procedure during the bigger shoulder surgery: High-demand patients with biceps tendonitis in the setting of a SLAP lesion with labral instability who undergo combined tenodesis and SLAP repair have significantly worse outcomes than patients who undergo either isolated labral repair for type II SLAP tears or isolated biceps tenodesis for a SLAP tear and biceps tendonitis.(9) SLAP tear surgery does cause a lot of damage, this is why revision surgery is generally not successful