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Indications for operation Rupture of the long head of biceps causing pain which has not responded to conservative treatment Anaesthetic General Anaesthetic with an interscalene block (You will be fully asleep and a local anaesthetic injection into the side of the neck will numb the nerves to the shoulder for post-operative pain relief) Operation type Open or Arthroscopic Arthroscopic Procedure Incisions 4 5mm incisions will be made around the shoulder