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PROXIMAL ASPECT OF BICEPS: Tenodesis of the long head of the biceps may offer improved cosmesis, improved strength, and diminished activity-related pain compared with tenotomy, although comparative studies have shown similar outcomes in some patient populations. DISTAL ASPECT OF BICEPS: Operative treatment of both partial and complete distal biceps ruptures results in better outcomes compared with nonoperative care, although the optimal technique and fixation are yet to be determined. Nonoperative management is an acceptable treatment for patients willing to accept some loss of forearm supination and elbow flexion strength as well as changes in endurance and cosmesis.

The beach chair and lateral decubitus positions are both reliable methods to accomplish effective arthroscopic shoulder procedures. The majority of arthroscopic shoulder procedures can be performed in either the beach chair or lateral decubitus position; however, surgeon training, joint positioning, and orientation may favor one position over the other. Regardless of the position, it is absolutely paramount that the patient be positioned carefully, with proper padding, head placement, and appropriately balanced suspension forces to minimize the occurrence of potentially devastating positioning complications. This study reviews common complications associated with the beach chair and lateral decubitus positions and ways in which these complications may be avoided.T he beach chair and lateral decubitus positions are reliable methods to accomplish effective arthroscopic shoulder procedures. The complications associated with each method, and helpful pearls, are discussed below.