Biceps Tenodesis Alone Versus Biceps Tenodesis and Labrum Repair in Superior Labrum Anteroposterior ( SLAP) From Type II to Type IV

A SLAP (Superior Labrum Anterior to Posterior) lesion is a specific type of shoulder injury that involves damage to the superior labrum, which is the cartilage rim around the socket of the shoulder joint. This type of injury typically occurs at the long head of the biceps tendon attaches to the labrum. The patient may feel pain, popping sensations and decreased range of motion in the shoulder.1 SLAP lesions are occurring in younger individuals,who playing sports that require repetitive overhead motions and presenting in individuals who have shoulder trauma injury,such as a fall or a direct blow to the shoulder.5There are four main types of SLAP lesions: in this research including from type II to type IV . SLAP type II is characterized by superior part of the labrum , along with the biceps tendon is detached from the glenoid . SLAP type III is characterized by bucket handle tear of the superior labrum , where a piece of the labrum detaches and flips into the shoulder . SLAP type IV is characterized by a bucket-handle tear of the superior labrum that extends into the biceps tendon. The prevalence of SLAP lesions as a cause of shoulder pain is estimated to be around 6-26% in the general population. 2,3,4,5,6Treatment of SLAP lesion is biceps tenodesis which was recently described, used suture anchor for fixation the biceps tendon to proximal humerus to obtain the stability of glenohumeral muscle. Fixation methods include tenodesis through a bone tunnel which have a role in pain relief and maintain biceps muscle strength and have a role in preventing cramping.7,8 Recently treatment of SLAP lesion is repairing the labrum using suture anchors with Biceps tenodesis.1 This study prepared to compare the results of biceps tenodesis alone Versus biceps tenodesis and labrum repair in superior labrum anteroposterior (SLAP) Lesion from type II to type IV .

Inclusion Criteria:

• Traumatic and degenerative etiology.
• No shoulder deformity .
• No inflammatory joint disorders.
• Type of the SLAP is SLAP lesion from type II to type IV

Exclusion Criteria:

• History of the disease.
• Bilateral shoulder.
• DM .
• Epilepsy .
• psychological disturbance.

Aim of this study is comparing outcome results of biceps tenodesis alone versus biceps tenodesis and labrum repair in superior labrum anteroposterior ( SLAP) from type II to type IV