2023 Annual Meeting Wrist & Elbow Access Pass-Opinion_ The Last Operation First

Opinion_ The Last Operation First_ Treat the Biceps!

Video Transcription

Video Summary

Justin Griffin discusses the controversial treatment of biceps issues in throwing athletes, emphasizing the lack of clear high-level evidence. There are two main approaches: traditional SLAP (Superior Labrum Anterior to Posterior) repairs versus biceps tenodesis ("biceps killers"). Outcomes vary due to patient heterogeneity and injury types. Griffin favors tenodesis, especially subpectoral, citing higher return-to-sport rates and fewer revisions compared to SLAP repairs. He stresses careful patient evaluation, non-surgical management first, and individualized surgical decisions, often reserving SLAP repair mainly for pitchers. Ultimately, he suggests tenodesis may offer better functional results in most throwing athletes.

Asset Caption

Justin W. Griffin, M.D.

Keywords

biceps injuries

throwing athletes

SLAP repair

biceps tenodesis

return to sport