Surgical treatment of isolated type II SLAP lesions
Type II lesions are seen most frequent among different types of SLAP lesions. Both SLAP repair as well as biceps tenodesis have been used as treatment for type II SLAP lesions, but there is still no consensus on the preferred intervention or the actual indications for either of the procedures.
31 patients that presented with an isolated type II SLAP repair and that had undergone surgery were retrospectively analysed. Biceps tenodesis was performed in eighteen patients, thirteen patients underwent a SLAP repair. Generally, in younger patients with a healthy superior labrum, SLAP repair was performed, whereas biceps tenodesis was the treatment of choice for older patients that presented with poor quality labral tissue.
No significant differences were present between groups in any of the outcome measures (VAS for overall pain, presence of bicipital groove pain, ASES score, time to return to previous activities, subjective shoulder value and patient satisfaction). Both surgical procedures lead to similar (significant) improvements in pain, function and satisfaction, provided that a simple algorithm based on age and quality of labral tissue is used.
> From: Ek et al., J Shoulder Elbow Surg 23 (2015) 1059-1065. All rights reserved to the Journal of Shoulder and Elbow Surgery Board of Trustees. Click here for the Pubmed summary.