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Objectives In this study, we aimed to examine patients over 40 years of age who underwent failed primary isolated type 2 superior labrum anterior posterior (SLAP) repair arthroscopically and to evaluate the outcomes of tenotomy. Patients and methods Between March 2011 and December 2019, a total of 32 patients (19 males, 13 females; median age: 55.1 years; range, 41 to 59 years) who underwent primary repair for SLAP due to high activity levels and in whom the treatment failed were retrospectively analyzed. Biceps tenotomy was applied to all patients. The Constant-Murley Score (CMS), Visual Analog Scale (VAS) pain scores, and muscle strength before and after re-arthroscopy were compared. Results The median follow-up time was 27 (9-84) months after biceps tenotomy. During arthroscopy, failure was detected in three (9.37%) patients and additional pathologies were detected in five (15.62%) patients. Patients with biceps tenosynovitis were 29 (90.62%). The mean pre- and postoperative CMS scores were 40.5±11.1 and 86.3±8.1, respectively (p

Objective: We compared the clinical outcomes after arthroscopic repair to those after biceps tenotomy in patients with isolated superior labrum anterior posterior (SLAP) Type 2-3 lesions. Methods: A total of 48 patients with isolated SLAP Type 2-3 lesions, who underwent either arthroscopic repair (n=024) or tenotomy (n=24) were included in the study. CONSTANT shoulder scores in the postoperative 40th month were compared between both groups. Tenotomy was performed for the second time in 6 patients who did not benefit from arthroscopic repair, and their CONSTANT scores estimated before and 12 months after tenotomy were compared. Results: The clinical outcomes were evaluated in the arthroscopic repair group. Preoperative and postoperative CONSTANT scores were 43.87 (8.32), and 71.41 (9.75) (p