outcomes of arthroscopic biceps tenodesis for the treatment of failed type ii slap repair: a minimum 2-year follow-up

Background: to retrospectively review surgical outcomes of prospectively collected data on a series of patients who underwent revision of a type ii slap repair to arthroscopic biceps tenodesis due to an unsuccessful outcome. methods: a retrospective review was performed on a cohort of patients who underwent arthroscopic biceps tenodesis for a failed type ii slap repair from 2010 to 2014. range of motion (rom) in four planes was measured pre-and postoperatively. in addition, all patients completed the american shoulder elbow surgeons (ases) standardized shoulder assessment form, the visual analogue scale (vas) for pain, and the short form-12 (sf-12) scores. results: overall, 26 patients met inclusion criteria. all 26 patients were available for follow-up at a minimum of two years (100% follow-up). the mean age of the patients was 37(range 26-54), 85% were male, and 58% were overhead laborers. clinical as well as statistical improvement was noted following tenodesis across all outcome measurements (p<0.01). additionally, rom improved in all four planes (p<0.01). the rate of return to work was 85% with workers’ compensation status leading to inferior outcomes. two complications were noted which required an additional surgery. conclusion: arthroscopic biceps tenodesis demonstrates to be an effective treatment for a failed type ii slap repair with improved patient satisfaction, pain relief, and range of motion at two-years follow-up with a low complication rate.