2021 AANA/ASES Specialty Session-Cut It Out: Primary Biceps Tenodesis for SLAP Tears in Throwing Athletes

Cut It Out: Primary Biceps Tenodesis for SLAP Tears in Throwing Athletes

Video Transcription

Video Summary

Tony Romeo discusses primary biceps tenodesis for overhead throwers, emphasizing injuries occurring during arm abduction and external rotation, like internal impingement. Most shoulder surgeries in baseball pitchers are labral repairs, but outcomes are often suboptimal, especially for elite athletes. Non-operative treatments for SLAP tears show limited success. He highlights the frequent involvement of the biceps tendon in these injuries, suggesting tenodesis as a reliable surgical option, particularly for younger athletes or those with biceps symptoms. While labral repair remains standard for isolated tears, tenodesis may be better for failed repairs or primary biceps pathology, improving return-to-play chances.

Asset Caption

Anthony A. Romeo, M.D.

Keywords

biceps tenodesis

overhead throwers

shoulder injuries

SLAP tears

labral repair