Tenotomía o tenodesis de la porción larga del bíceps versus reparación del rodete glenoideo en pacientes con lesión superior del rodete glenoideo en su porción anterior y posterior

Abstract

Objective: To consult the available literature about the results presented by patients with superior lesion of the glenoid labrum in its anterior and posterior portion (SLAP), treated with tenodesis or tenotomy of the long head of the biceps versus labral repair. Material and method: PRISMA guidelines were followed by consulting the PubMed, Google Scholar, and SCIELO databases. Results: Among the 9 studies evaluated, one of them compared ten articles on tenodesis versus the biceps brachii tenotomy. Most of them did not report a significant difference in terms of shoulder function. Of 8 studies, where 325 patients were included, a better clinical evolution was obtained as a result in favor of tenotomy and tenodesis versus repair of the glenoid labrum. Of 274 patients,
169 treated with SLAP repair and 105 with biceps tenodesis, the rate of return to sport with labral repair was 50% to 76% versus 63% to 85% after biceps tenodesis. Weick et al. conducted a study addressing the technical aspects of type II SLAP injury repair
in athletes, determining that 84% of the general population had "good to excellent" results. Conclusion: The results of treatment of anterior and posterior superior glenoid labrum lesion of the biceps tendon can be variable depending on different factors. In general terms of improvement in postoperative pain, return to activities prior to the injury, and complications, tenodesis and tenotomy of the long head of the biceps proved to be superior.