E. Lyle Cain Jr., MD, (Birmingham, AL) details his rationale to tenodese the biceps tendon in the subpectoral region. He discusses bicipital groove pain as a main indication for a subpectoral tenodesis. Dr. Cain also addresses the argument of stress risers in the humerus, and shows how he mitigates this by using a 5.5 mm SwiveLock® anchor and drilling the tunnel 2 cm distal to the transverse humeral ligament at the metaphyseal-diaphyseal junction.