Editorial Commentary: Silly Biceps, Tenodesis Is for Kids!
| Autor: | Tauro JC; Rutgers New Jersey Medical School. |
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| Jazyk: | angličtina |
| Zdroj: | Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2019 Apr; Vol. 35 (4), pp. 1042-1043. |
| DOI: | 10.1016/j.arthro.2019.01.004 |
| Abstrakt: | There is now a strong consensus that the best surgical treatment of a SLAP lesion is often something different from a primary direct repair, especially in older patients in whom postoperative stiffness and persistent pain have led most of us to perform a biceps tenodesis instead. However, treatment of younger patients and especially the overhead athlete group is more problematic and thus controversial. This study demonstrates that biceps tenodesis in these patients can be more successful and have a higher return to sport than SLAP repair alone. There may also be a role for biceps tenodesis AND a SLAP repair but the numbers presented in this paper preclude an analysis of exactly who that group is. When it comes to the treatment of patients with SLAP lesions for whom a very well executed rehabilitation program has failed, understanding the symptoms and demographics of your patients is critical to surgical decision making. The pendulum may swing toward tenodesis, but beware: The correct answer is usually near the center of the arc! (Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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