Comparison of labral repair and biceps tenodesis concomitant with arthroscopic rotator cuff repair in patients between the age of 40 and 60

Abstract

Aim: Superior labrum anterior to posterior (SLAP) lesions are frequently accompanied by rotator cuff tear (RCT). The optimal treatment for type 2 and 4 SLAP lesions with RCT were not established. We aimed to compare the clinical results of SLAP repair and biceps tenodesis (BT) concomitant with arthroscopic rotator cuff repair (ARCR) in patients between 40 and 60 years old. Material and Method: Forthy three patients (16 male, 27 females) who received ARCR concomitant with SLAP repair or BT for full-thickness rotator cuff tear were evaluated retrospectively. The patients were divided into the two groups based on treatment methods (SLAP repair, Group 1, 20 patients), (BT, Group 2, 23 patients). American Shoulder and Elbow Surgeons (ASES) score, University of California Los Angeles (UCLA) shoulder score, visual analogue scale scores (VASs), and range of motion (ROM) values were used as outcome tools. Results: The mean age of the patients was 48.8±5.03 years. There was no difference in preoperative shoulder and pain scores (P<0.05). Postoperative 12th month and last follow-up ASES and UCLA scores and ROM measures were significantly higher in Group 2, but the minimally clinical important difference (MCID) was not reached in any of the shoulder scores. Conclusion: In the patients between 40 and 60 years old, BT is associated with higher shoulder scores and ROM values than SLAP repair when performed with RCR, but the difference was clinically insignificant. We concluded that both BT and SLAP repair is suitable options with concomitant RCR.

Keywords

• SLAP repair
• Biceps tenodesis
• Middle age
• Rotator cuff repair

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