Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial

Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial

BACKGROUND Labral repair and biceps tenodesis are routine operations for superior labrum anterior posterior (SLAP) lesion of the shoulder, but evidence of their efficacy is lacking. We evaluated the effect of labral repair, biceps tenodesis and sham surgery on SLAP lesions. METHODS A double-blind, sham-controlled trial was conducted with 118 surgical candidates (mean age 40 years), with patie...

Efficacy of labral repair, biceps tenodesis, and diagnostic arthroscopy for SLAP Lesions of the shoulder: a randomised controlled trial

BACKGROUND Surgery for type II SLAP (superior labral anterior posterior) lesions of the shoulder is a promising but unproven treatment. The procedures include labral repair or biceps tenodesis. Retrospective cohort studies have suggested that the benefits of tenodesis include pain relief and improved function, and higher patient satisfaction, which was reported in a prospective non-randomised s...

Subpectoral Biceps Tenodesis for Failed Type II SLAP Repair

Superior labrum anterior-posterior lesions are a common cause of shoulder pain. The diagnosis, classification, and indications for surgical intervention remain controversial, and mixed outcomes are associated with primary repair. Given the increasing prevalence of primary superior labrum anterior-posterior repairs in the United States, more surgeons will need to treat patients with poor primary...

Superior labral tears: repair versus biceps tenodesis.

Tears of the superior labrum were first described by Andrews et al in 1985 as injuries caused by traction due to throwing. In 1990 Snyder and Karzel published their comprehensive description of the labral/biceps attachment pathology, coining the name ‘‘SLAP (superior labrum anterior-to-posterior)’’ lesion. Since that time, understanding the nuances associated with etiology, diagnosis, and treat...

Study protocol Efficacy of labral repair, biceps tenodesis, and diagnostic arthroscopy for SLAP Lesions of the shoulder: a randomised controlled trial