Effects of Biceps Tenotomy on The Shoulder Joint in the Treatment of Slap Lesions

Authors : Caner Poyraz, Vahit Yıldız
Pages : 179-185
Doi:10.17517/ksutfd.1570649
View : 88 | Download : 189
Publication Date : 2025-11-22
Article Type : Research Paper
Abstract :Objective: This study aimed to investigate the radiologic and clinical changes in the shoulder joint after biceps tenotomy for isolated SLAP (Superior Labrum Anterior to Posterior) lesions. Material and Methods: A total of 380 patients who underwent shoulder arthroscopy for SLAP lesions between September 2015 and September 2019 in our center were retrospectively analyzed. The study included 44 patients who met the inclusion criteria (isolated SLAP lesion, biceps tenotomy, no shoulder instability, no advanced shoulder arthrosis, no additional shoulder pathology, follow-up period longer than 1 year). Post operative and pre-operative values of the patients were compared with clinical and radiologic measurements. In clinical evaluation; UCLA, Constant, VAS, DASH scoring system and muscle strength were compared. In radiologic evaluation; Superior Humeral Migration, Coracohumeral Distance, Acromiohumeral Distance, Critical Shoulder Angle, Acromial Index were compared. Results: Among the 44 patients included in the study, 18 were female and 26 were male. The mean age of the patients was 51 years and the mean follow-up period was 32.2 months. In the preoperative measurements of the patients, Coracohumeral Distance: 11.5 ± 2.4 mm, Superior Migration of the Humeral Head: 3.4 ± 1.0 mm. In the postoperative group measurements, Coracohumeral Distance: 8.4 ± 1.4 mm, Superior Migration of the Humeral Head: 4.5 ± 1.3 mm. When these values were compared, the changes in the SHY and KH distance values were statistically significant (p=0.031, p=0.012). Significant improvements were observed in all functional measurements and scoring systems within the scope of clinical evaluations. Conclusion: Biceps tenotomy in the treatment of isolated SLAP lesions resulted in anterior and superior translation of the humerus radiologically. According to clinical evaluations, tenotomy contributes to pain relief and improved function in these patients.
Keywords : SLAP lezyonu, Biceps Patolojisi, Superior Humeral Yönelim, Korakohumeral Mesafe, Biceps Tenotomisi.

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