Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial

British Journal of Sports Medicine
Cecilie Piene SchrøderJens Ivar Brox

Abstract

Labral repair and biceps tenodesis are routine operations for superior labrum anterior posterior (SLAP) lesion of the shoulder, but evidence of their efficacy is lacking. We evaluated the effect of labral repair, biceps tenodesis and sham surgery on SLAP lesions. A double-blind, sham-controlled trial was conducted with 118 surgical candidates (mean age 40 years), with patient history, clinical symptoms and MRI arthrography indicating an isolated type II SLAP lesion. Patients were randomly assigned to either labral repair (n=40), biceps tenodesis (n=39) or sham surgery (n=39) if arthroscopy revealed an isolated SLAP II lesion. Primary outcomes at 6 and 24 months were clinical Rowe score ranging from 0 to 100 (best possible) and Western Ontario Shoulder Instability Index (WOSI) ranging from 0 (best possible) to 2100. Secondary outcomes were Oxford Instability Shoulder Score, change in main symptoms, EuroQol (EQ-5D and EQ-VAS), patient satisfaction and complications. There were no significant between-group differences at any follow-up in any outcome. Between-group differences in Rowe scores at 2 years were: biceps tenodesis versus labral repair: 1.0 (95% CI -5.4 to 7.4), p=0.76; biceps tenodesis versus sham surgery: 1.6 (95% CI -5...Continue Reading

References

Jan 1, 1990·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S J SnyderM J Friedman
Jun 29, 2000·The Journal of Bone and Joint Surgery. British Volume·J DawsonA Carr
Jul 12, 2002·The New England Journal of Medicine·J Bruce MoseleyNelda P Wray
Mar 17, 2004·Controlled Clinical Trials·Heejung BangClarence E Davis
Apr 8, 2004·The Journal of Bone and Joint Surgery. American Volume·Judie WaltonGeorge A C Murrell
Mar 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Cecilie P SchroderJens Ivar Brox
Apr 22, 2008·BMC Musculoskeletal Disorders·Einar Kristian TveitåErik Bautz-Holter
Feb 21, 2009·The American Journal of Sports Medicine·Pascal BoileauRyan Bicknell
Jul 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Stephen F BrockmeierUNKNOWN Hospital for Special Surgery Sports Medicine and Shoulder Service
Aug 12, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Laurie M KatzAlan S Curtis
Apr 7, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kalyan GorantlaRick W Wright
Jun 5, 2010·The American Journal of Sports Medicine·Sara L EdwardsTheodore A Blaine
Feb 10, 2011·Journal of Shoulder and Elbow Surgery·Joseph P BurnsStephen J Snyder
Aug 13, 2011·Journal of Shoulder and Elbow Surgery·Øystein SkareJens Ivar Brox
May 23, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Cecilie Piene SchrøderJens Ivar Brox
Dec 27, 2013·The New England Journal of Medicine·Raine SihvonenUNKNOWN Finnish Degenerative Meniscal Lesion Study (FIDELITY) Group
Feb 6, 2014·Journal of Shoulder and Elbow Surgery·Laura A VogelWilliam N Levine
Feb 25, 2014·Journal of Clinical Epidemiology·Teppo L N JärvinenGordon H Guyatt
Mar 29, 2014·The American Journal of Sports Medicine·Wasyl W FedoriwDavid M Lintner
Jul 6, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kent SheridanRichard Marder
Jul 24, 2014·The American Journal of Sports Medicine·Michael B GottschalkRachel Burdette
Jan 23, 2015·Orthopedics·Anil K GuptaAnthony A Romeo
Oct 3, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Vineet Thomas AbrahamV Prem Kumar
Dec 17, 2015·Journal of Shoulder and Elbow Surgery·Suk-Hwan JangJin-Goo Kim
Jan 19, 2016·Orthopaedic Journal of Sports Medicine·Randy SchwartzbergKevin W McLean
Feb 26, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Brandon J EricksonNikhil N Verma
Sep 24, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jamison M GreenJoseph P Burns

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Citations

Jul 25, 2017·British Journal of Sports Medicine·Derek F P van Deurzen, Michel P J van den Bekerom
Jan 25, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sergio A GlaitEric J Strauss
Jun 27, 2018·British Journal of Sports Medicine·Jeremy Lewis, Peter O'Sullivan
Sep 11, 2018·The Open Orthopaedics Journal·Cecilie P Schrøder
Sep 11, 2018·The Open Orthopaedics Journal·Adam M Johannsen, John G Costouros
Sep 11, 2018·The Open Orthopaedics Journal·Michael D CharlesBrian J Cole
Jan 2, 2020·The Journal of Orthopaedic and Sports Physical Therapy·Jeremy S LewisPeter O'Sullivan
Mar 19, 2020·The British Journal of Surgery·S CousinsJ M Blazeby
Jun 25, 2017·British Journal of Sports Medicine·Robert G McCormack, Mark Robert Hutchinson
May 24, 2018·Archives of Orthopaedic and Trauma Surgery·Y ReinigThomas Stein
Feb 6, 2019·Shoulder & Elbow·Marcus BatemanAmol A Tambe
Dec 11, 2019·Journal of Clinical Medicine·Sandra BoesmuellerRainer Mittermayr
Mar 2, 2018·The Journal of Orthopaedic and Sports Physical Therapy·Jeremy Lewis
Aug 15, 2019·Diagnostic and Prognostic Research·Danielle A van der WindtRichard D Riley
Jan 4, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Matthew W DeFazioNeal C Chen
Jul 1, 2020·Journal of Shoulder and Elbow Surgery·Yining LuBrian Forsythe
Feb 23, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Ryan XiaoAlexis Colvin
Apr 23, 2021·Journal of Orthopaedic Surgery·Osman CivanAlpay M Ozenci
Dec 23, 2020·Annals of Surgery·Samantha BunzliMichelle M Dowsey
Jun 3, 2021·Diagnostics·Rocio Aldon-VillegasGema Chamorro-Moriana
May 25, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Lambert T LiBrett D Owens
Jun 19, 2021·Arthroscopy Techniques·Derrick M Knapik, Bernard R Bach
Jul 18, 2021·Journal of ISAKOS·Matthew R LeVasseurAugustus D Mazzocca
Aug 26, 2021·Acta Orthopaedica·Ian Harris
Aug 28, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Robin HoltedahlJens Ivar Brox
Sep 11, 2021·Health Technology Assessment : HTA·David J BeardJonathan A Cook
Aug 19, 2021·AJR. American Journal of Roentgenology·Soterios GyftopoulosNaveen Subhas

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Clinical Trials Mentioned

NCT00586742

Software Mentioned

Statistical Analysis System ( SAS
EuroQol
R

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