SLAP lesions: a treatment algorithm

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Matthias BrockmeyerOlaf Lorbach

Abstract

Tears of the superior labrum involving the biceps anchor are a common entity, especially in athletes, and may highly impair shoulder function. If conservative treatment fails, successful arthroscopic repair of symptomatic SLAP lesions has been described in the literature particularly for young athletes. However, the results in throwing athletes are less successful with a significant amount of patients who will not regain their pre-injury level of performance. The clinical results of SLAP repairs in middle-aged and older patients are mixed, with worse results and higher revision rates as compared to younger patients. In this population, tenotomy or tenodesis of the biceps tendon is a viable alternative to SLAP repairs in order to improve clinical outcomes. The present article introduces a treatment algorithm for SLAP lesions based upon the recent literature as well as the authors' clinical experience. The type of lesion, age of patient, concomitant lesions, and functional requirements, as well as sport activity level of the patient, need to be considered. Moreover, normal variations and degenerative changes in the SLAP complex have to be distinguished from "true" SLAP lesions in order to improve results and avoid overtreatment. ...Continue Reading

References

Sep 1, 1991·The American Journal of Sports Medicine·F W JobeR E Glousman
Jan 1, 1990·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S J SnyderM J Friedman
Sep 1, 1985·The American Journal of Sports Medicine·J R AndrewsW D McLeod
Jan 1, 1995·The American Journal of Sports Medicine·M W MaffetB Moseley
Jun 1, 1994·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·M M WilliamsD Buford
May 1, 1993·The American Journal of Sports Medicine·F A CordascoL U Bigliani
Jul 1, 1995·Journal of Shoulder and Elbow Surgery·S J SnyderR P Karzel
Oct 1, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S S Burkhart, C D Morgan
Oct 8, 1999·AJR. American Journal of Roentgenology·K K ChanD Resnick
Feb 1, 2000·Clinics in Sports Medicine·G M Gartsman, S M Hammerman
Apr 16, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Stephen J O'BrienMark C Drakos
Apr 4, 2003·The Journal of Bone and Joint Surgery. American Volume·Anita G RaoEdward G McFarland
May 2, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Carlos A Guanche, Donald C Jones
Sep 17, 2003·The American Journal of Sports Medicine·Patrick M ConnorDonald F D'Alessandro
Jan 9, 2004·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jüri KartusMark Perko
Mar 10, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Richard Holtby, Helen Razmjou
Jul 10, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Keith D NordBenjamin M Mauck
Feb 22, 2005·The American Journal of Sports Medicine·Junji IdeKatsumasa Takagi
Mar 1, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Nirav K PandyaG Russell Huffman
Apr 30, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Nina EbingerPeter Habermeyer
Feb 6, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Christopher C Dodson, David W Altchek
Feb 21, 2009·The American Journal of Sports Medicine·Pascal BoileauRyan Bicknell
Jul 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Stephen F BrockmeierUNKNOWN Hospital for Special Surgery Sports Medicine and Shoulder Service
Aug 17, 2010·Sports Medicine and Arthroscopy Review·Stephen C Weber
Aug 27, 2010·The American Journal of Sports Medicine·Joshua M AlpertThomas J Gill
Aug 25, 2011·AJR. American Journal of Roentgenology·Shahla ModarresiCecilia Matilda Jude
Jan 24, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Patrick J DenardStephen S Burkhart
May 23, 2012·Journal of Shoulder and Elbow Surgery·Ikemefuna OnyekweluYoung W Kwon
Aug 7, 2013·International Journal of Surgery·Huayang HuangHongyuan Shen
Jan 25, 2014·Sports Health·Joshua D HarrisBernard R Bach
Feb 13, 2014·The American Journal of Sports Medicine·Frank McCormickMatthew T Provencher
Jun 6, 2014·Acta orthopaedica et traumatologica turcica·Gazi HuriEdward G McFarland
Aug 20, 2015·International Journal of Shoulder Surgery·John N TrantalisIan K Y Lo
Nov 11, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·W Ben Kibler, Aaron Sciascia

❮ Previous
Next ❯

Citations

Nov 24, 2017·Journal of Orthopaedic Surgery and Research·Sandra BoesmuellerRainer Mittermayr
Aug 2, 2018·Journal of Orthopaedic Surgery and Research·Sebastiano VastaVincenzo Denaro
Jan 19, 2018·Current Reviews in Musculoskeletal Medicine·Jacob G CalceiJoshua S Dines
Sep 11, 2018·The Open Orthopaedics Journal·William A HesterFelix H Savoie
Sep 11, 2018·The Open Orthopaedics Journal·Apostolos StathellisAnastasios Georgoulis
Sep 11, 2018·The Open Orthopaedics Journal·Michael D CharlesBrian J Cole
Oct 7, 2019·MMW Fortschritte der Medizin·Johannes GleichBen Ockert
Mar 19, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J Tristan CassidyH Mullett
Apr 17, 2020·The American Journal of Sports Medicine·Gregory L CvetanovichAnthony A Romeo
Sep 22, 2018·Orthopaedic Journal of Sports Medicine·Drew A LansdownBrian T Feeley
Mar 30, 2019·Orthopaedic Journal of Sports Medicine·Gregory L CvetanovichNikhil N Verma
Feb 26, 2019·EFORT Open Reviews·Filippo FamiliariEdward G McFarland
Dec 11, 2019·Journal of Clinical Medicine·Sandra BoesmuellerRainer Mittermayr
Aug 18, 2021·Journal of Orthopaedic Surgery and Research·Rocio Aldon-VillegasGema Chamorro-Moriana

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Champ L Baker, Anthony A Romeo
The Orthopedic Clinics of North America
Frank McCormickAnthony A Romeo
© 2021 Meta ULC. All rights reserved