Purpose
To report short-term outcomes following biceps tenodesis combined with arthroscopic
posterior labral repair of type VIII SLAP lesions in active-duty military patients.
Methods
All consecutive patients from January 2012 through December 2018 who underwent biceps
tenodesis combined with arthroscopic posterior labral repair of type VIII SLAP tears
performed by the senior surgeon with complete outcome scores and minimum 2.5 years
follow-up were identified. Exclusion criteria included concomitant glenoid microfracture,
rotator cuff repair, or other capsulolabral repair. Outcome measures were completed
by patients within 7 days before surgery and at latest follow-up. Biceps tenodesis
performed was a mini-open, through a subpectoral approach, using a double-loaded 2.9mm
suture-anchor.
Results
Thirty-two patients met the inclusion criteria for the study. All patients were active-duty
military at time of surgery. Average follow-up was 73.53 ± 22.37 months. Thirty-one
patients achieved the minimal clinically important difference, 30 of 32 reached the
substantial clinical benefit, and 31 of 32 met the patient acceptable symptomatic
state, as defined for the American Shoulder and Elbow Surgeons Shoulder Score. Similarly,
30 of 32 patients reached the minimal clinically important difference, 29 of 32 achieved
the substantial clinical benefit, and 32 of 32 met the patient acceptable symptomatic
state for the Single Assessment Numeric Evaluation. There were no significant changes
in forward flexion, external rotation, or internal rotation between pre- and postoperative
measurements. Three patients reported postoperative complications and 1 patient progressed
to further surgery. Thirty (93.75%) patients remained on active-duty military service
and were able to return to preinjury levels of activity.
Conclusions
Active-duty military patients with type VIII SLAP tears had statistically and clinically
significant increases in outcome scores, marked improvement in pain, and high rates
of return to unrestricted active-duty following mini-open subpectoral biceps tenodesis
combined with posterior labral repair.
Level of Evidence
IV, retrospective case series.
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Article info
Publication history
Published online: March 29, 2022
Accepted:
March 7,
2022
Received:
November 21,
2021
Footnotes
The authors report the following potential conflicts of interest or sources of funding: J.C.D. reports nonfinancial support from Stryker, outside the submitted work. N.P. reports consultant fees from Mitek, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
This study was performed at Carthage Area Hospital, Carthage, New York, U.S.A.
Identification
Copyright
© 2022 by the Arthroscopy Association of North America
