Sham Surgery Versus Labral Repair or Biceps Tenodesis for Type II SLAP Lesions of The Shoulder .
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Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical tria
Br J Sports Med. 2017 Dec;51(24):1759-1766.One hundred eighteen patients with symptomatic, isolated type II SLAP (superior labrum anterior-posterior) lesions were randomized to receive either labral repair (n=40), biceps tenodesis (n=39), or sham surgery (n=39). The primary outcomes of interest were the Rowe score (0-100) and the Western Ontario Shoulder Instability Index (WOSI) at 6 and 24 months. Secondary outcomes included the Oxford Instability Shoulder Score, pain change, EuroQol (EQ-5D and EQ-VAS), patient satisfaction, and complications. Outcomes were assessed up to 24 months postoperatively. Overall, the results revealed that all groups demonstrated significant improvement over time; however, there were no significant differences between labral repair, biceps tenodesis, and sham surgery in any outcome at any follow-up time point. These findings suggest that neither labral repair nor biceps tenodesis provided a significant clinical benefit over sham surgery in this population.
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