Date of Presentation
5-4-2023 12:00 AM
College
School of Osteopathic Medicine
Poster Abstract
Background: There is no consensus on whether SLAP repair (SR) or biceps tenodesis (BT) yields superior long-term outcomes in managing superior labrum anterior to posterior (SLAP) tears. No previous study has examined outcomes of these procedures in female patients.
Hypothesis/Purpose: The purpose of this study was to compare outcomes following SR and BT for SLAP tears in females. The authors hypothesized there would be no difference in outcomes between patients who underwent SR or BT.
Study Design: Retrospective Cohort (level III)
Methods: Female patients who underwent SR or BT for treatment of SLAP tears between 1/1/2014 and 9/1/2019 were retrospectively reviewed. Patients undergoing a concomitant procedure were excluded. Patients completed American Shoulder and Elbow Surgeons (ASES), single assessment numerical evaluation (SANE), and visual analog scale (VAS), and a custom return to activity surveys at a minimum 2 years post-operatively.
Results: The study included 65 female patients; 38 (58.4%) underwent arthroscopic SR and 27 (41.5%) underwent open- or arthroscopic-BT. There was no significant difference in laterality of procedure but patients in the SR group were significantly younger (36.7±8.44 years vs. 44.4±10.4 years, P = .003). At minimum 2-year follow-up, there was no significant difference in ASES scores (SLAP: 78.3 vs BT: 80.0, P = .591), SANE scores (77.0 vs 80.1, P = .722) or VAS scores (26.4 vs 24.4, P = .530). Furthermore, rates of participation in sports prior to surgery (58.8%vs 37.0%, P = .152) and rates of return-to-sport after surgery (75.0% vs 80.0%, P = 1.000) did not significantly differ.
Conclusion: Female patients undergoing surgical treatment of SLAP lesions with either SR or BT show comparable subjective outcomes and return to sport at minimum 2 years. These results are comparable to those seen in prior studies focusing on predominantly male cohorts. Further research is necessary to define precise treatment indications for this pathology in this specific female patient population.
Keywords
Shoulder Injuries, Shoulder Joints, Tendinopathy, Tenodesis, SLAP Tears, Female, Treatment Outcome, Return to Sport
Disciplines
Medicine and Health Sciences | Musculoskeletal System | Orthopedics | Sports Medicine | Surgery
Document Type
Poster
Included in
Musculoskeletal System Commons, Orthopedics Commons, Sports Medicine Commons, Surgery Commons
Comparison of Patient Outcomes in Female Patients Undergoing SLAP Repair or Biceps Tenodesis for the Treatment of SLAP Lesions
Background: There is no consensus on whether SLAP repair (SR) or biceps tenodesis (BT) yields superior long-term outcomes in managing superior labrum anterior to posterior (SLAP) tears. No previous study has examined outcomes of these procedures in female patients.
Hypothesis/Purpose: The purpose of this study was to compare outcomes following SR and BT for SLAP tears in females. The authors hypothesized there would be no difference in outcomes between patients who underwent SR or BT.
Study Design: Retrospective Cohort (level III)
Methods: Female patients who underwent SR or BT for treatment of SLAP tears between 1/1/2014 and 9/1/2019 were retrospectively reviewed. Patients undergoing a concomitant procedure were excluded. Patients completed American Shoulder and Elbow Surgeons (ASES), single assessment numerical evaluation (SANE), and visual analog scale (VAS), and a custom return to activity surveys at a minimum 2 years post-operatively.
Results: The study included 65 female patients; 38 (58.4%) underwent arthroscopic SR and 27 (41.5%) underwent open- or arthroscopic-BT. There was no significant difference in laterality of procedure but patients in the SR group were significantly younger (36.7±8.44 years vs. 44.4±10.4 years, P = .003). At minimum 2-year follow-up, there was no significant difference in ASES scores (SLAP: 78.3 vs BT: 80.0, P = .591), SANE scores (77.0 vs 80.1, P = .722) or VAS scores (26.4 vs 24.4, P = .530). Furthermore, rates of participation in sports prior to surgery (58.8%vs 37.0%, P = .152) and rates of return-to-sport after surgery (75.0% vs 80.0%, P = 1.000) did not significantly differ.
Conclusion: Female patients undergoing surgical treatment of SLAP lesions with either SR or BT show comparable subjective outcomes and return to sport at minimum 2 years. These results are comparable to those seen in prior studies focusing on predominantly male cohorts. Further research is necessary to define precise treatment indications for this pathology in this specific female patient population.