Purpose
To evaluate the functional and athletic outcomes after primary subpectoral biceps
tenodesis for type II SLAP tear in overhead athletes.
Methods
All competitive elite athletes with type II SLAP tears undergoing biceps tenodesis
by a single surgeon were isolated between 2007 and 2015. Exclusion criteria were applied
to individuals not involved in overhead athletics, clinical follow-up <24 months,
adjacent rotator cuff or labral repair, concomitant SLAP repair, and/or previous arthroscopic
shoulder surgery. Patient-reported outcome measures included visual analog scale (VAS),
Kerlan Jobe Orthopaedic Clinic shoulder score, and Single Assessment Numerical Assessment.
Clinical and sporting outcomes were recorded using a sports-specific questionnaire.
Results
Of 22 identified patients, 16 competitive overhead athletes (72.7%; 11 men, 5 women)
with a mean age of 21.0 years were available at mean 4.5-year follow-up. Baseball
or softball comprised the majority of patients (n = 9; 56.3%), followed by gymnastics
(n = 2), swimming (n = 2), and other sports (n = 3). At mean 4.1 months postoperatively,
13 patients (81.3%) returned to previous level of athletic activity, whereas 2 patients
(12.5%) failed to return to sporting activity and 1 (6.3%) returned at a lower level
of competition. VAS pain significantly decreased from an average of 4.4 preoperatively
to 1.7 postoperatively (P = .002), and mean Single Assessment Numerical Assessment scores also demonstrated
significant improvement (55.4-76.7; P = .008). Final mean Kerlan Jobe Orthopaedic Clinic score was 74.0 (standard deviation
25.9), including 2 patients with suboptimal outcomes due to persistent pain. There
were no significant differences in mean forward flexion or rotation in either the
adducted or throwing position (P > .05), although small, significant decreases in postoperative active abduction were
noted (165° vs 155°; P = .003).
Conclusions
In the current series of competitive overhead athletes, 81% of patients returned to
previous level of play at an average of 4.1 months postoperatively after subpectoral
biceps tenodesis for symptomatic SLAP tear. Athletes reliably experienced significant
decreased activity-related pain with athletic function.
Level of Evidence
IV, case series.
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Article Info
Publication History
Published online: August 17, 2022
Accepted:
July 13,
2022
Received:
April 10,
2020
Publication stage
In Press Journal Pre-ProofFootnotes
The authors report the following potential conflicts of interest or sources of funding: B.R.W. reports personal fees from AANA, during the conduct of the study; other from Sparta, Kaliber Labs, and Vivorte; grants, personal fees, and nonfinancial support from Arthrex; personal fees from Vericel and Elsevier, outside the submitted work; and board or committee member, American Orthopaedic Society for Sports Medicine , American Academy of Orthopaedic Surgeons , and AANA . A.A.R. reports other financial or material support from AANA; board or committee member, American Shoulder and Elbow Surgeons; IP royalties, other financial or material support; paid consultant; paid presenter or speaker; and research support from Arthrex; other financial or material support from Major League Baseball; editorial or governing board, Orthopedics; board or committee member, Orthopedics Today; editorial or governing board, Paragen Technologies; research support; stock or stock options from Paragen Technologies; editorial or governing board, SAGE; publishing royalties, financial, or material support from Saunders/Mosby-Elsevier; editorial or governing board; publishing royalties, and financial or material support SLACK Incorporated; and editorial or governing board, Wolters Kluwer Health-Lippincott Williams & Wilkins. ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
Copyright
© 2022 by the Arthroscopy Association of North America
