Table 2.
Systematic Review Clinical Information
| Source | History | Motion | Strength | Special Tests | Imaging | Surgical Indications |
|---|---|---|---|---|---|---|
| Boileau et al.,1 2009 | Pain at rest, pain with overhead activity, failed medication and physical therapy for ≥6 mo | NR | NR | NR | CT, MRA, or DA for type II SLAP injury but not consistent across all patients | Type II SLAP injury |
| Gottschalk et al.,2 2014 | NR | NR | NR | NR | DA | Type II or IV SLAP injury |
| Gupta et al.,3 2015 | Tenderness to palpation in groove, failed medication and physical therapy | NR | NR | NR | MRI and DA | Consideration for BT based on clinical/imaging evidence of tendinitis such as groove pain or fluid in sheath |
| Pogorzelski et al.,4 2018 | NR | NR | NR | NR | DA | Type II SLAP injury had to be present for BT to be performed |
| Griffin et al.,5 2019 | Failed physical therapy and inability to return to sport, bicipital groove pain | NR | NR | NR | MRI with tendon inflammation and DA | Signs of synovitis, hypertrophy, and instability or biceps-labral complex injury |
| Lin et al.,6 2021 | NR | NR | NR | NR | NR | BT or transfer per surgeon preference; SLAP repair performed with BT if superior labral tissue was unstable after biceps was detached to prevent bucket handling and propagation of labral tear |
| Hurley et al.,7 2022 | NR | NR | NR | NR | NR | Patient decided which procedure preoperatively |
| Lacheta et al.,8 2022 | Persistent pain, failed physical therapy | Impaired function | Loss of strength | Active compression and Yergason tests | Radiologic signs of type II SLAP injury only and confirmed with DA (excluded pathology of long head of biceps) | Tissue quality of superior labrum decided procedure; SLAP repair used for solid impressed bucket-handle tear; BT used for degenerative multiple fraying of superior labrum |
| Lorentz et al.,9 2022 | NR | NR | NR | NR | MRI and DA | Pathology identified at biceps-labral complex |
| Rothermich et al.,10 2023 | NR | NR | NR | NR | Advanced imaging (type not specified) | BT used when pathology identified at biceps-labral complex—no specifics provided |
| Waterman et al.,11 2023 | Tenderness to palpation in groove | Motion obtained but not used to make diagnosis | NR | Active compression, modified dynamic labral shear, and crank tests | MRI for SLAP injury and DA | Anterior type IIa SLAP injury involving biceps anchor; attenuated/poor-quality biceps-labral tissue, structural long head of biceps pathology, and groove pain |
BT, biceps tenodesis; CT, computed tomography; DA, diagnostic arthroscopy; MRA, magnetic resonance arthrography; MRI, magnetic resonance imaging; NR, not reported.