CASE REPORT


Superior Capsular Release After Failed Combined Superior Labral Repair And Biceps Tenodesis For Slap Tear



Yung Han*, Janet Lee, Sung Park, Eugene Suh
Los Angeles Shoulder Institute, 505 S Virgil Ave, Ste. 205, Los Angeles, CA 90020, USA


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Creative Commons License
© 2018 Han et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Los Angeles Shoulder Institute, 505 S Virgil Ave, Ste. 205, Los Angeles, CA 90020, USA; Tel: 2138055822; E-mail: han.md@hotmail.com


Abstract

Introduction:

Optimal treatment of type II superior labrum anterior and posterior (SLAP) tears is controversial. There has been a recent trend towards biceps tenodesis over SLAP repair in older patients. Few surgeons have performed combined biceps tenodesis and SLAP repair with inferior results.

Case Report:

This case describes a 46-year-old patient who had persistent pain and stiffness after combined biceps tenodesis and SLAP repair for a type II SLAP tear. His pain and motion improved after arthroscopic superior capsular release.

Conclusion:

Failed SLAP repair is often multifactorial and a thorough workup is needed. Combined biceps tenodesis and SLAP repair can cause pain, stiffness, and dysfunction which can be successfully treated with arthroscopic superior capsular release.

Keywords: Slap Tear, Biceps Tenodesis, Superior Capsule Release, Failed Slap Repair, Shoulder Stiffness.