Abstract

Purpose

Compared to a relatively older population over 30–40 years of age, the efficacy of biceps tenodesis for type II SLAP lesions in a younger population is not well studied. The purpose of this study was to compare outcomes between biceps tenodesis and labral repair for type II SLAP lesions in a young active population.

Methods

Patients aged 15–40 who underwent primary arthroscopic biceps tenodesis or SLAP repair for type II SLAP tears between 2009 and 2016 were included. Shoulders with intraarticular chondral damage, full thickness rotator cuff tear, rotator cuff repair, labral repair outside of the superior labrum, bony subacromial decompression, and acromioclavicular joint resection were excluded. Patient-reported outcomes were evaluated using the American Shoulder and Elbow Surgeons (ASES) score, Disabilities of the Arm, Shoulder, and Hand Sports/Performing Arts Module (DASH-sport), visual analog scale (VAS) for pain, and satisfaction. Return to sport rates were also recorded.

Results

Fifty-three patients (20 tenodesis, 33 repair) were available for minimum 2-year follow-up. Postoperatively, there were no significant differences in mean ASES, DASH-sport, VAS, and satisfaction between groups [ASES: tenodesis 86.3 vs. repair 86.4 (n.s.); DASH-sport: 11.0 vs. 22.5 (n.s.); VAS: 1.85 vs. 1.64 (n.s.); satisfaction: 8.50 vs. 8.00 (n.s.)]. Rate of return to pre-injury level of performance/competition in sport/physical activity was also similar between groups [tenodesis 63% vs. repair 50% (n.s.)].

Conclusions

In a young active population, primary arthroscopic biceps tenodesis is a viable surgical alternative to labral repair for type II SLAP lesions. The results of this study suggest that indications for arthroscopic tenodesis can safely be expanded to a younger patient group than has previously been demonstrated in the literature.

Level of evidence

III.

中文翻译：

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在年轻人群中关节镜下治疗II型上唇前后后部（SLAP）病变：SLAP修复和二头肌腱固定术至少有2年的结局相似

摘要

目的

与30-40岁以上的相对较老的人群相比，在较年轻的人群中二头肌腱固定术对II型SLAP病变的疗效尚未得到充分研究。这项研究的目的是比较年轻的活跃人群中二头肌腱固定术和II型SLAP损伤的唇修复的结果。

方法

纳入对象为2009年至2016年间进行II型SLAP撕裂的初次关节镜二头肌腱固定术或SLAP修复的15-40岁患者。排除具有关节内软骨损伤，肩袖全厚度撕裂，肩袖修复，上唇外侧唇修复，肩峰下减压和肩锁关节切除术的肩膀。使用美国肩肘外科医师（ASES）评分，手臂，肩部残疾和手部运动/表演艺术模块（DASH-sport），视觉模拟量表（VAS）对疼痛和满意度的评估来评估患者报告的结果。还记录了运动返回率。

结果

可对53例患者（20例腱鞘病，33例修复术）进行至少2年的随访。术后，两组之间的平均ASES，DASH运动，VAS和满意度无显着差异[ASES：腱膜86.3与修复86.4（ns）；DASH运动：11.0 vs. 22.5（ns）; VAS：1.85对1.64（ns）；满意度：8.50 vs. 8.00（ns）]。各组之间在运动/体育活动中表现/比赛的恢复到受伤前水平的比率也相似[四肢节63％vs修复50％（ns）]。

结论

在年轻的活跃人群中，原发性关节镜下肱二头肌腱切除术是替代II型SLAP病变的人工修复的可行外科手术。这项研究的结果表明，与以前文献中所证明的相比，关节镜下腱膜形成的适应症可以安全地扩大到年轻的患者组。

证据水平

三，