RESEARCH ARTICLE


Treatment of Type Two Slap Lesion With Anatomic Suture Anchor Repair Without Biceps Tenotomy Or Tenodesis



Chadwick C. Prodromos*, Susan Finkle, Alexander Dawes, Ji Young Baik
The Illinois Orthopaedic Foundation, Orthopaedic Surgery Rush University (Ret), Chicago, C.A, United States


Article Metrics

CrossRef Citations:
1
Total Statistics:

Full-Text HTML Views: 702
Abstract HTML Views: 380
PDF Downloads: 175
ePub Downloads: 136
Total Views/Downloads: 1393
Unique Statistics:

Full-Text HTML Views: 459
Abstract HTML Views: 265
PDF Downloads: 143
ePub Downloads: 108
Total Views/Downloads: 975



Creative Commons License
© 2018 Chadwick C. Prodromos.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Illinois Orthopaedic Foundation, Orthopaedic Surgery Rush University (Ret), Chicago, United States; Tel: 847-699-6810; E-mail: chadprodromos@gmail.com


Abstract

Background:

Poor results after repair of type 2 SLAP tears are relatively common and some have reported better results after biceps tenodesis or tenotomy than repair. In addition, some believe that the long head of the biceps is expendable. Therefore, many now favor biceps tenotomy or tenodesis over biceps anchor repair either in all patients or in older patients, reserving SLAP lesion repair only for young athletes.

Hypothesis:

We hypothesized that repair of the biceps anchor of the labrum would be effective in all patients regardless of age provided that care was taken not to overtighten the labrum and that rotator cuff pain as the primary pain generator had been ruled out.

Methods:

All patients with type 2 SLAP lesion repair by the senior author since he began repairing them with suture anchors were prospectively evaluated. Patients with more than one other concomitant procedure, simultaneous rotator cuff repair or worker’s compensation status were excluded.

Results:

77% of patients were available for minimum two year followup. No patient had subsequent surgery or manipulation under anesthesis as a result of their SLAP repair. Standardized shoulder test score increased by 4 points. Mean SANE score decreased from 53 pre-op to 14 post-op. Results were the same in those over versus under 40 years of age.

Conclusion:

Anatomic repair of Type 2 SLAP lesions at the biceps anchor without biceps tenodesis or tenotomy can produce good results in patients of all ages.

Keywords: Shoulder, SLAP lesion, SLAP repair, Biceps tenotomy, Biceps tenodesis, Surgery.