Related Experiment Video
Updated: May 10, 2026
05:25
Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
Published on: January 23, 2026
Subpectoral biceps tenodesis for failed type II SLAP repair
Anil K Gupta1, Benjamin Bruce, Emma L Klosterman
1Department of Orthopeadic Surgery, Midwest Orthopaedics at Rush, Rush University Medical Center, 1611 W Harrison St, Ste 300, Chicago, IL 60612, USA. anilgupta07@hotmail.com
Orthopedics
|June 11, 2013
Summary
Subpectoral biceps tenodesis offers improved outcomes for patients with failed superior labrum anterior-posterior (SLAP) repairs. This salvage procedure effectively reduced pain and enhanced shoulder function in a small patient cohort.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Reconstruction
Background:
- Superior labrum anterior-posterior (SLAP) lesions are a frequent cause of shoulder pain.
- Surgical repair outcomes for SLAP lesions can be mixed, leading to a need for revision strategies.
- The prevalence of primary SLAP repairs necessitates effective treatments for failed cases.
Purpose of the Study:
- To evaluate the efficacy of subpectoral biceps tenodesis as a salvage procedure for failed type II SLAP repairs.
- To assess patient-reported outcomes, including pain and functional scores, following this salvage surgery.
Main Methods:
- Retrospective review of prospectively collected data from patients undergoing subpectoral biceps tenodesis for failed type II SLAP repair.
- Data collected included pain (Visual Analog Scale), American Shoulder and Elbow Surgeons score, Short Form 12 score, Simple Shoulder Test, and Single Assessment Numeric Evaluation.
- Statistical analysis using paired t test to compare pre- and postoperative scores.
Main Results:
- Significant improvements were observed in Visual Analog Scale (pain), American Shoulder and Elbow Surgeons, Short Form 12 (physical component), Simple Shoulder Test, and Single Assessment Numeric Evaluation scores.
- 82% of patients completed follow-up at a mean of 26 months with no reported complications or need for further surgery.
- Mean Visual Analog Scale scores improved from 4.1 to 2.5 (P=.03).
Conclusions:
- Subpectoral biceps tenodesis is a viable salvage option for patients with failed type II SLAP repairs, demonstrating significant improvements in pain and function.
- The procedure showed a high success rate with no complications in this cohort.
- Larger comparative studies are recommended to further validate this technique.
