Combined SLAP repair and biceps tenodesis for superior labral anterior–posterior tears

Abstract

Treatment, Level III.

Long Biceps Subpectoral Tenodesis With Suspensory Button and Bicortical Fixation

“…Recently, several authors have confirmed the findings of Boileau et al. 9 in the first of the few reports that directly compared tenodesis with SLAP repair, suggesting tenodesis as an alternative to SLAP repair, 11 , 12 with evidence of a shorter postoperative recovery, a more predictable outcome, and a higher rate of satisfaction and return to activity with a biceps tenodesis when compared with a repair. 1 , 13 …”

Diagnosis and Treatment of Injuries to the Biceps and Superior Labral Complex in Overhead Athletes

“…Injuries to this complex typically occur as a result of repetitive microtrauma through overuse, although acute injuries are possible [12]. Many throwers present complaining of a decrease in velocity and often note pain and mechanical symptoms such as clicking and popping during the late cocking phase of the throwing motion, while tennis or volleyball players may complain of pain during the cocking phase of the serve [18][19][20][21]. Concomitant injuries can occur with relative frequency, such as rotator cuff pathology and instability [22].…”

“…An additional study by Gottschalk et al demonstrated a significant improvement in ASES and VAS in 33 patients (average > 46 years old) with type II and IV SLAP tears treated with subpectoral biceps tenodesis and debridement of the superior labrum [67]. A combination of SLAP repair and biceps tenodesis in patients with biceps and superior labral pathology, as presented by Chalmers et al, demonstrated worse outcomes in ASES scores and VAS scores when compared to those that underwent isolated biceps tenodesis or SLAP repair [19].…”

Superior Capsular Release After Failed Combined Superior Labral Repair And Biceps Tenodesis For Slap Tear

“…There has been a recent trend towards biceps tenodesis for the surgical management of type II tears [ 8 , 9 ] and treatment of failed SLAP repairs [ 10 - 12 ]. Few surgeons have performed combined biceps tenodesis and SLAP repair to treat biceps pathology and optimize glenohumeral biomechanics [ 13 ]. However, a recent study showed that this combined procedure results in significantly worse forward flexion and pain scores compared to isolated SLAP repair or isolated biceps tenodesis [ 13 ].…”

“…Few surgeons have performed combined biceps tenodesis and SLAP repair to treat biceps pathology and optimize glenohumeral biomechanics [ 13 ]. However, a recent study showed that this combined procedure results in significantly worse forward flexion and pain scores compared to isolated SLAP repair or isolated biceps tenodesis [ 13 ]. We present a patient who had persistent pain, stiffness, and dysfunction after receiving concomitant biceps tenodesis and superior labral repair.…”