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

Authors : Bertan CENGİZ, Sinan OGUZKAYA

Pages : 379-384

Doi:10.32322/jhsm.1035458

View : 19 | Download : 6

Publication Date : 2022-03-15

Article Type : Research Paper

Abstract :Aim: Superior labrum anterior to posterior insert ignore into journalissuearticles values(SLAP); lesions are frequently accompanied by rotator cuff tear insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(BT); concomitant with arthroscopic rotator cuff repair insert ignore into journalissuearticles values(ARCR); in patients between 40 and 60 years old. Material and Method: Forthy three patients insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(SLAP repair, Group 1, 20 patients);, insert ignore into journalissuearticles values(BT, Group 2, 23 patients);. American Shoulder and Elbow Surgeons insert ignore into journalissuearticles values(ASES); score, University of California Los Angeles insert ignore into journalissuearticles values(UCLA); shoulder score, visual analogue scale scores insert ignore into journalissuearticles values(VASs);, and range of motion insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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