Functional outcomes may be better after primary vs. secondary biceps tenodesis
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SAN FRANCISCO — Primary biceps tenodesis yielded better functional outcomes compared with secondary biceps tenodesis after a failed superior labrum from anterior to posterior repair, according to results presented here.
Eoghan T. Hurley, MBBCh, MCh, and colleagues collected patient-reported outcomes, including satisfaction rate and return to play, via telephone survey among patients who underwent either a primary biceps tenodesis for symptomatic superior labrum from anterior to posterior (SLAP) tear or a secondary biceps tenodesis after failed SLAP repair.
“In terms of patient demographics, we pair matched in a 3 to 1 ratio,” Hurley said in his presentation at the Arthroscopy Association of North America Annual Meeting. “We lined up for age, gender, athletic interests and follow-up time, so there were no significant differences between any of the demographics.”
Hurley noted patients who underwent primary biceps tenodesis had significantly higher American Society of Anesthesiology, VAS and subjective shoulder value scores vs. patients who underwent secondary biceps tenodesis after failed SLAP repair. Although patients in the primary biceps tenodesis group reported greater satisfaction and willingness to undergo the same surgery again, Hurley noted these differences were not statistically significant.
“In terms of athletes, there was a higher rate of return to play – although not significant – similar times to return to play and a slightly lower VAS score during return to sport,” Hurley said.
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Hurley ET, et al. Primary biceps tenodesis vs. secondary biceps tenodesis following failed SLAP repair. Presented at: Arthroscopy Association of North America Annual Meeting. May 19-21, 2022; San Francisco.
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