Superior Labral Tear From Anterior to Posterior (SLAP) Repair Versus Biceps Tenodesis for SLAP Tears in the Shoulder

Study Overview
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Brief Summary
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Biceps Tenodesis is currently advocated for older, less active patients, but to date is not often advocated for Superior Labral Tear from Anterior to Posterior (SLAP) tears in young, active patients. The ideal surgical management for this pathology is not clearly known. More surgeons are using biceps tenodesis as a treatment for SLAP tears, including in the young, active population. If this study were to demonstrate that biceps tenodesis is similar to or better than SLAP repair, this would fundamentally change the treatment of SLAP tears. Perhaps more importantly, it would likely mean a less involved rehabilitation and earlier return to activities for patients with this pathology.

Official Title
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SLAP Repair Versus Biceps Tenodesis for SLAP Tears in the Shoulder: A Randomized Outcomes Study

Conditions
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SLAP Tear

Intervention / Treatment
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* Procedure: SLAP Repair
* Procedure: Biceps Tenodesis


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Primary isolated SLAP tear, confirmed on MRI Exclusion Criteria: Concomitant procedure needed such as a labral repair, rotator cuff repair or distal clavicle excision. Revision Surgery Previous shoulder surgery Major medical illness Inability to speak or read English

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: SLAP Repair<br>Patient will receive SLAP repair for their SLAP tear. | Procedure: SLAP Repair<br>* SLAP repair for SLAP tear<br>|
| Experimental: Biceps Tenodesis Repair<br>Patient will receive biceps tenodesis repair for their SLAP tear. | Procedure: Biceps Tenodesis<br>* Biceps tenodesis for SLAP tear<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient reported function and pain | American Shoulder and Elbow Surgeons (ASES) | Baseline | 
| Patient reported function and pain | ASES | 6 months | 
| Patient reported function and pain | ASES | 1 year | 
| Patient reported function and pain | ASES | 2 years | 
| Patient reported function and pain | ASES | 5 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Range of Motion & Strength | Shoulder/elbow range of motion and strength measurements | Baseline | 
| Range of Motion | Shoulder/elbow range of motion | 3 months | 
| Range of Motion & Strength | Shoulder/elbow range of motion and strength measurements | 6 months | 
| Range of Motion & Strength | Shoulder/elbow range of motion and strength measurements | 1 year | 
| Range of Motion & Strength | Shoulder/elbow range of motion and strength measurements | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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SLAP Repair, Biceps Tenodesis