Bicep Injuries

The biceps tendon attaches muscles to the shoulder in two separate places and helps bend the elbow and rotate the forearm, while the acromioclavicular (AC) joint involves the junction of the acromion and clavicle bones, often marked by a small bump on the shoulder.

Injury to these structures can occur as a result of:

  • Age
  • Over-activity
  • Overhead activity such as throwing, weight lifting or sports
  • A fall or other type of trauma

When the bicep is injured, it can result in inflammation or a partial or complete tear.  These injuries can cause severe pain, bruising and weakness.

Surgical treatment depends on the type and severity of the condition.  Standard procedure is an open operation.  However, many of these procedures can be performed through arthroscopy for:

  • Less scarring
  • Less bleeding
  • Shorter recovery times

Dr. Scott Sigman is a leader in developing a new arthroscopic technique, arthroscopic suprapectoral biceps tenodesis, with similar outcomes to the open operation on bicep injuries.


Dr. Scott Sigman uses EXPAREL to reduce opioid reliance and consumption.  EXPAREL can provide a non-opioid pain control in the first few days after surgery when patient’s postsurgical pain is the highest.  When using EXPAREL, there is no need for catheters, pumps, or other delivery devices.

Dr. Scott Sigman is a consultant for Pacira Pharmaceuticals, Inc., and has partnered with them on an initiative to use opioid alternatives in the surgical setting.