Anatomical study for SLAP lesion repair

Arai, Ryuzo; Kobayashi, Masahiko; Harada, Hideto; Tsukiyama, Hiroyuki; Saji, Takahiko; Toda, Yoshinobu; Hagiwara, Yoshihiro; Miura, Takashi; Matsuda, Shuichi

doi:10.1007/s00167-013-2385-3

Cited by 13 publications

(8 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An anchor position anterior to the biceps attachment has been suggested as increasing stiffness and rates of surgical failure. 2 However, a recent study on the clinical outcomes of type II SLAP repair in a military population found that anchor placement anterior to the biceps tendon was not associated with inferior outcomes. 3 In our study, we placed anchors anterior to the biceps insertion as needed.…”

Section: Discussionmentioning

confidence: 97%

“…3 In addition, several studies suggest that overtensioning the biceps anchor and superior labrum during SLAP repair may lead to alterations of biceps biomechanics, which can result in further biceps tendon abnormalities after repair. 2,8 In a recent study, biceps tenodesis was suggested as a viable alternative to SLAP repair in young athletes with a high level of return to sport activity and low revision rate. 15 The purpose of the current study was to compare the outcomes of arthroscopic SLAP repair with arthroscopicassisted subpectoral biceps tenodesis for isolated type II SLAP tears in active-duty military patients younger than 35 years at a minimum of 5 years after surgery.…”

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Biceps Tenodesis as an Attractive Alternative to Superior Labral Anterior-Posterior (SLAP) Repair for Type II SLAP Lesions in Active-Duty Military Patients Younger Than 35 Years

et al. 2021

View full text Add to dashboard Cite

Background: Biceps tenodesis has been suggested as a superior surgical technique compared with isolated labral repair for superior labral anterior-posterior (SLAP) tears in patients older than 35 years. The superiority of this procedure in younger patients, however, is yet to be determined. Purpose: To compare the outcomes of arthroscopic SLAP repair with those of arthroscopic-assisted subpectoral biceps tenodesis for type II SLAP tears in active-duty military patients younger than 35 years. Study Design: Cohort study; Level of evidence, 3. Methods: Preoperative and postoperative evaluations with a minimum 5-year follow-up including the visual analog scale (VAS), the Single Assessment Numeric Evaluation (SANE), and the American Shoulder and Elbow Surgeons (ASES) shoulder score were administered, and scores were compared between 2 groups of patients younger than 35 years. One group included 25 patients who underwent SLAP repair, and the second group included 23 patients who underwent arthroscopic-assisted subpectoral biceps tenodesis. Results: The preoperative patient age ( P = .3639), forward flexion ( P = .8214), external rotation ( P = .5134), VAS pain score ( P = .4487), SANE score ( P = .6614), and ASES score ( P = .6519) did not vary significantly between the 2 study groups. Both groups demonstrated statistically significant increases in function as measured by the ASES and SANE and decreases in pain as measured by the VAS at a minimum of 5 years postoperatively. Also at a minimum of 5 years postoperatively, patients in the tenodesis group had lower pain (1.3 vs 2.6, respectively; P = .0358) and higher SANE (84.0 vs 63.3, respectively; P = .0001) and ASES (85.7 vs 75.4, respectively; P = .0342) scores compared with those in the repair group. Failure rate was 20.0% in the repair group versus 0.0% in the tenodesis group ( P = .0234). Conclusion: Active-duty military patients younger than 35 years with type II SLAP tears had more predictable improvement in pain, better functional outcomes, and lower failure rates after biceps tenodesis compared with SLAP repair for type II SLAP tears. Overall, the results of this study indicate that arthroscopic- assisted subpectoral biceps tenodesis is superior to arthroscopic SLAP repair for the treatment of type II SLAP tears in military patients younger than 35 years.

show abstract

Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Biceps Tenodesis as an Attractive Alternative to Superior Labral Anterior-Posterior (SLAP) Repair for Type II SLAP Lesions in Active-Duty Military Patients Younger Than 35 Years

et al. 2021

View full text Add to dashboard Cite

show abstract

“…9 Moreover, it has been shown that the long head of the biceps does not send fibres anteriorly beyond the anterior edge of the supraglenoid tubercle. 10 It may have an entirely posterior, a posterior-dominant, or an equally anterior and posterior attachment into the superior labrum. In most shoulders, the biceps has either an entirely posterior or a posterior-dominant labral insertion; however, 17% to 37% of shoulders have an equal distribution of fibres inserting into the anterior and posterior aspects of the labrum.…”

Section: Anatomymentioning

confidence: 99%

SLAP lesions: current controversies

Familiari¹,

Huri

R³

et al. 2019

EFORT Open Reviews

View full text Add to dashboard Cite

Knowledge of the pertinent anatomy, pathogenesis, clinical presentation and treatment of the spectrum of injuries involving the superior glenoid labrum and biceps origin is required in treating the patient with a superior labrum anterior and posterior (SLAP) tear.Despite the plethora of literature regarding SLAP lesions, their clinical diagnosis remains challenging for a number of reasons.First, the diagnostic value of many of the available physical examination tests is inconsistent and ambiguous.Second, SLAP lesions most commonly occur concomitantly with other shoulder injuries.Third, SLAP lesions have no specific associated pain pattern.Outcomes following surgical treatment of SLAP tears vary depending on the method of treatment, associated pathology and patient characteristics.Biceps tenodesis has been receiving increasing attention as a possible treatment for SLAP tears.Cite this article: EFORT Open Rev 2019;4:25-32. DOI: 10.1302/2058-5241.4.180033.

show abstract

“… 18 There is concern, however, that overtensioning of the biceps–anchor and superior labrum during SLAP repair may lead to altered biomechanics, which could drive the development of biceps tendon pathology following repair. 19 , 20 Recent studies have improved our understanding of the anatomic derangements that occur secondary to SLAP tears and have helped to guide surgeons in restoring the native anatomy during repair. 19 , 21 Specifically, concerns regarding too stiff a fixation construct following traditional repair techniques have led authors to investigate alternative methods through which to perform a SLAP repair.…”

mentioning

confidence: 99%