Biceps tenodesis or repair in isolated type II SLAP lesions
Although arthroscopic repair has been the standard surgical procedure over the last years, there is evidence that different types of patients might require different types of surgery: while anatomic repair is indicated in young adults and overhead athletes, the general population above 35 years may benefit more from biceps tenodesis alone.
In this study, a retrospective design was used to evaluate 37 isolated type II SLAP lesions, in patients older than 35 years, on which surgery was performed. Full repair was performed in 22 cases, and in 15 cases only a biceps tenodesis was performed. The decision for either repair or tenodesis was made based on patient characteristics. Rehabilitation protocols were comparable after both procedures.
Functional outcomes, VAS pain scores and final ROM improved significantly in both groups, but no differences were present between groups. Restoration of ROM seemed to be delayed in the repair group as compared to the tenodesis group. Patient satisfaction and return to activities were higher in the tenodesis group. Important limitations of this study are the retrospective design and the small population.
> From: Denard et al., Orthopedics 37 (2015) e292-e297. All rights reserved to Slack, Inc. Click here for the Pubmed summary.