Superior Capsular Release After Failed Combined Superior Labral Repair And Biceps Tenodesis For Slap Tear

INTRODUCTION: Optimal treatment of type II superior labrum anterior and posterior (SLAP) tears is controversial. There has been a recent trend towards biceps tenodesis over SLAP repair in older patients. Few surgeons have performed combined biceps tenodesis and SLAP repair with inferior results. CAS...

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Detalles Bibliográficos
Autores principales: Han, Yung, Lee, Janet, Park, Sung, Suh, Eugene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2018
Materias:
Orthopaedics
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110074/
https://www.ncbi.nlm.nih.gov/pubmed/30197711
http://dx.doi.org/10.2174/1874325001812010295
Descripción
Sumario:INTRODUCTION: Optimal treatment of type II superior labrum anterior and posterior (SLAP) tears is controversial. There has been a recent trend towards biceps tenodesis over SLAP repair in older patients. Few surgeons have performed combined biceps tenodesis and SLAP repair with inferior results. CASE REPORT: This case describes a 46-year-old patient who had persistent pain and stiffness after combined biceps tenodesis and SLAP repair for a type II SLAP tear. His pain and motion improved after arthroscopic superior capsular release. CONCLUSION: Failed SLAP repair is often multifactorial and a thorough workup is needed. Combined biceps tenodesis and SLAP repair can cause pain, stiffness, and dysfunction which can be successfully treated with arthroscopic superior capsular release.

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