This study adds to the evolving literature supporting biceps tenodesis as a viable treatment for type II and IV SLAP lesions. Patient age had no effect on the outcomes. Based on these results, biceps tenodesis is a safe, effective, and technically straightforward alternative to primary SLAP repair in patients with type II and IV SLAP tears.
Data suggest anabolic steroids may enhance production of bioartificial tendons and rotator cuff tendon healing in vitro. More research is necessary before such clinical use is recommended.
Because of the high failure rates, we now augment thermal capsulorrhaphy with capsular plication and/or rotator interval closure in cases of posterior and multidirectional instability and have lengthened the initial immobilization period to improve outcomes. Failure rates for thermal capsulorrhaphy, even with labral repairs, are high especially for shoulders with multidirectional instability and posterior instability. When procedures were successful, however, patients were very satisfied with significant improvements in American Shoulder and Elbow Surgeons scores.
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