Zhu XM, Leroux T, Ben-David E, et al. - This study was sought to explore Level I studies comparing tenotomy and tenodesis for the management of long head of biceps pathology. Researchers carried out to search Medline, EMBASE, and the Cochrane Library databases from database inception through April 17^th, 2020. They assessed clinical outcomes including Constant-Murley Shoulder Outcome Score, American Shoulder and Elbow Surgeons shoulder score, pain on the visual analogue scale, postoperative strength, and Popeye’s deformity. The research enrolled a sum of 5 studies (227 tenotomy and 227 tenodesis patients). The outcomes of this study exhibited that tenotomy and tenodesis of the long head of the biceps result in comparable postoperative clinical and functional outcomes. It has been reported that tenodesis is superior to tenotomy in preventing Popeye’s deformity postoperatively.