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We read with interest the article by Schrøder et al1 on the clinical outcome among labral repair, biceps tenodesis and sham surgery for isolated type II superior labrum anterior posterior (SLAP) lesions in a double-blind randomised clinical trial.2 Patients 18–60 years of age who had shoulder pain for more than 3 months and were unresponsive to the conservative managements were candidates for this trial. Once isolated type II SLAP lesion was confirmed from the arthroscopic examination, each patient was randomly assigned to either labral repair, biceps tenodesis or sham surgery. The authors concluded that neither labral repair nor biceps tenodesis had any superior benefit over sham surgery.
We appreciated the authors’ great efforts on this randomised control study. However, we have several comments and concerns regarding the study design …
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