PURPOSE: Long-head biceps tenodesis has been suggested as an alternative to superior @entity1347 (SLAP) repair. However, an unrepaired superior labral tear may increase glenohumeral translation, and thus, labral repair may be considered in the setting of biceps tenodesis. METHODS: @entity1 who underwent tenodesis, SLAP repair, or combined tenodesis and labral repair for SLAP tears were included. The indication for combined tenodesis and labral repair was biceps @entity924 in the setting of a @entity75 with labral instability. Demographics, range of motion, return to work, return to sport, American Shoulder and Elbow Surgeons (ASES) scores, and visual analogue @entity158 scale (VAS) scores were recorded. RESULTS: Eighty-six @entity1 were included: 18 underwent combined tenodesis and labral repair, 45 underwent SLAP repair alone, and 23 underwent tenodesis alone. There were no significant differences in rates of return to pre-operative level of play (n.s.) or return to full duties at work (n.s.). These groups differed significantly in ASES scores (p  =  0.015) and VAS scores (p  =  0.019) with combined tenodesis and labral repair @entity1 having lower scores than @entity1 undergoing either tenodesis or SLAP repair alone. A subgroup analysis of @entity1 who did not have Worker's Compensation claims demonstrated similar results with significant differences in ASES scores, which were lowest among the combined tenodesis and labral repair cohort (p  =  0.045). CONCLUSIONS: High-demand @entity1 with biceps @entity924 in the setting of a @entity75 with labral instability who undergo combined tenodesis and SLAP repair have significantly worse outcomes than @entity1 who undergo either isolated labral repair for type II SLAP tears or isolated biceps tenodesis for a SLAP tear and biceps @entity924 . LEVEL OF EVIDENCE: Treatment, Level III.

Combined SLAP repair and biceps tenodesis for superior XXXX tears.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity75 :: ('MESH:D001927', 'Disease') :: ['SLAP lesion'] @entity1347 :: ('MESH:C537775', 'Disease') :: ['labral anterior-posterior'] @entity924 :: ('MESH:D052256', 'Disease') :: ['tendonitis'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity1347 :: (MESH:C537775,Disease) :: ['labral anterior-posterior']
