Outcomes of Arthroscopic Biceps Tenodesis for the Treatment of Failed Type II SLAP Repair: A Minimum 2-Year Follow-Up



1 Rowan University School of Osteopathic Medicine, Stratford, NJ, USA

2 University of Massachusetts Memorial Medical Center, Worcester, MA, USA


Background: To retrospectively review surgical outcomes of prospectively collected data on a series of patients who
underwent revision of a type II SLAP repair to arthroscopic biceps tenodesis due to an unsuccessful outcome.
Methods: A retrospective review was performed on a cohort of patients who underwent arthroscopic biceps tenodesis
for a failed type II SLAP repair from 2010 to 2014. Range of motion (ROM) in four planes was measured pre-and
postoperatively. In addition, all patients completed the American Shoulder Elbow Surgeons (ASES) standardized
shoulder assessment form, the Visual Analogue Scale (VAS) for pain, and the Short Form-12 (SF-12) scores.
Results: Overall, 26 patients met inclusion criteria. All 26 patients were available for follow-up at a minimum of two
years (100% follow-up). The mean age of the patients was 37(range 26-54), 85% were male, and 58% were overhead
laborers. Clinical as well as statistical improvement was noted following tenodesis across all outcome measurements
(P<0.01). Additionally, ROM improved in all four planes (P<0.01). The rate of return to work was 85% with workers’
compensation status leading to inferior outcomes. Two complications were noted which required an additional surgery.
Conclusion: Arthroscopic biceps tenodesis demonstrates to be an effective treatment for a failed type II SLAP repair
with improved patient satisfaction, pain relief, and range of motion at two-years follow-up with a low complication rate.
Level of evidence: III


Main Subjects