Editorial Commentary: When You Have a Hammer, Everything Looks Like a Nail-Tenodesis of a Normal Biceps Tendon at the Time of Arthroscopic Rotator Cuff Repair Should Be Avoided.

Because of difficulties in diagnosis of pathology of the long head of the biceps tendon and a desire to prevent later complications, there may be a tendency to perform a biceps tenodesis even when pathology is mild. Surprisingly, in this multivariate analysis of a large database, tenodesis of the biceps was associated with increased odds of revision rotator cuff repair. Although the statistical power of these findings must be viewed in light of the limitations of "big data," surgeons must still use all available tools to avoid treatment of normal anatomy.