Subpectoral Biceps Tenodesis for the Treatment of Type II and IV Superior Labral Anterior and Posterior Lesions

Abstract

This study adds to the evolving literature supporting biceps tenodesis as a viable treatment for type II and IV SLAP lesions. Patient age had no effect on the outcomes. Based on these results, biceps tenodesis is a safe, effective, and technically straightforward alternative to primary SLAP repair in patients with type II and IV SLAP tears.

Concomitant intra-articular glenohumeral injuries in displaced fractures of the lateral clavicle

“…In general, the clinical manifestation of SLAP lesions contains pain, mechanical symptoms, instability and loss in range of motion [13,20]. In the literature, the optimal treatment strategy is controversially discussed [12].…”

Editorial Commentary: Back to Work After Shoulder Biceps Tenodesis!!

“…Few studies have commented on return to recreational and professional sports following tenodesis. 3,4 Most of the studies comment on functional outcome scores to assess postoperative function. 2,5,6 The article "Predictive Factors and the Duration to Pre-Injury Work Status Following Biceps Tenodesis" by Agarwalla, Gowd, Liu, Puzzitiello, Cole, Romeo, Verma, and Forsythe 1 is a well-written article; they have considered both suprapectoral and subpectoral tenodesis and studied the predictive factors and duration to return to preinjury work status.…”

“…These differences were not significant, however. Gottschalk et al 4 studied subpectoral tenodesis for SLAP type II and IV lesions. They found that 89.6% of their patients were able to return to the preinjury level of activity.…”

Glenoid Labrum

“…The labrum also functions to provide nutrition to the glenoid cavity and helps maintain joint lubrication [ 52 ]. Injuries to the glenoid labrum commonly occur due to acute trauma such as falling on a fl exed abducted arm or overuse injuries such as repetitive overhead use frequently seen in athletes [ 16 ]. Most pathologic lesions occur in the anterior inferior portions of the labrum and the superior portions of the labrum [ 52 ].…”