Treatment of superior labrum anterior posterior lesions: a literature review

Huri, Gazi; Hyun, Yoon Suk; Garbis, Nickolas; McFarland, Edward G.

doi:10.3944/aott.2014.3169

Cited by 14 publications

(26 citation statements)

References 68 publications

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“…One reason is that the detached labrum rarely causes mechanical symptoms, such as blocking of the joint. Another reason is that most patients have also coexisting pathologies in the shoulder, which cause similar symptoms and complicate the physical examination [ 7 ]. Preoperative imaging is very important for the diagnosis of SLAP lesion.…”

Section: Snyder Classificationmentioning

confidence: 99%

Treatment of SLAP Lesions

Stathellis¹,

Brilakis²,

Georgoulis

et al. 2018

TOORTHJ

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Background:The surgical treatment of a Superior Labrum Anterior and Posterior (SLAP) lesion becomes more and more frequent as the surgical techniques, the implants and the postoperative rehabilitation of the patient are improved and provide in most cases an excellent outcome.Objective:However, a standard therapy of SLAP lesions in the shoulder surgery has not been established yet. An algorithm on how to treat SLAP lesions according to their type and data on the factors that influence the surgical outcome is essential for the everyday clinical practice.Method:In this article, a retrospective evaluation of patients with SLAP lesion, treated surgically in our orthopaedic clinic was conducted.Results:According to the clinical outcome and our experience with the surgical therapy of SLAP lesions we demonstrate an algorithm on the proper therapeutic approach.Conclusion:SLAP I lesions are treated with debridement. Most controversies concern patients with SLAP II lesions, whose therapy is either fixation of the superior labrum or tenotomy/tenodesis of the long head of the biceps tendon. For patients with SLAP III or IV lesions the most commonly accepted approach is tenotomy or tenodesis of the long head of biceps tendon.

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Section: Snyder Classificationmentioning

confidence: 99%

Treatment of SLAP Lesions

Stathellis¹,

Brilakis²,

Georgoulis

et al. 2018

TOORTHJ

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“…[11] was (88%) and Lim et al, (2008) [12] . As the arthroscopic equipment and the understanding of SLAP lesions continue to evolve, more effective surgical treatment modalities are possibly emerging [13,15] . Clinical results of arthroscopic stabilization of SLAP lesions with suture anchors show success rates ranging from 71 to 97% [15] .…”

Section: Figure (9)mentioning

confidence: 99%

“…UCLA score was preferred as it assesses pain, function, active forward elevation, strength of forward motion, and patient satisfaction with a maximum score of 35, so it is subjective and objective score depending on both patient satisfaction and doctor assessment [13] . Statistical analysis of the data was performed by the Student t test with significance set at P < .05.…”

Section: D)mentioning

confidence: 99%

Arthroscopic Management of Superior Labrum Anterior to Posterior (Slap) Lesions

Mohamed

shalaby

Alfi

et al. 2017

Zagazig University Medical Journal

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Background: Superior labrum anterior to posterior (SLAP) lesions are labral tears that extend anteriorly from the posterior superior labrum, involving the long head of the biceps tendon originating from the glenoid labrum, and stopping before the anterior glenoid notch. Accurate diagnosis of suspected SLAP tears is confirmed by arthroscopy. Progress in arthroscopic techniques had made it possible to achieve accurate and safe repair in selected patterns of injury. Recent outcomes studies have shown good functional results and an acceptable rate of return to activity with treatment of SLAP tears by arthroscopy.

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“…[ 1 ] in 1990 initiated a decade of attempts to find the optimal surgical treatment of this entity, and suture anchor repair has been the dominant method. Retrospective, level IV studies showed promising results, but systematic reviews [ 2 , 3 ] reached more nuanced conclusions…”

Section: Introductionmentioning

confidence: 99%

“…The authors found no level I or II evidence for the outcome of SLAP repair and they recommended prospective studies. A review by Huri et al [ 3 ] in 2014 concludes that the evaluation and treatment of SLAP lesions continues to be controversial. They state that the results after repair have been shown to be less successful than initially reported, and that dissatisfaction with the results has led to an increased use of biceps tenotomy or tenodesis as the initial treatment, especially in older individuals.…”

Section: Introductionmentioning

confidence: 99%

SLAP lesions, An Opinion Piece

Schrøder¹

2018

TOORTHJ

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SLAP lesions were first classified by Snyder in 1990. Results of treatment have been controversial without clear consensus. All have agreed that prospective studies would be useful. We conducted such a study between 2008 to 2114 that randomized treatment between sham surgery, biceps tenodesis and labral repair. No significant differences in results between the groups were found. Crossover between groups was only possible from the sham surgery group and this may introduce some degree of bias. However, the six month outcomes between all three groups before any crossover were statistically identical. Our results also do not favor biceps tenodesis versus SLAP repair when surgery is performed. Based on these results we have narrowed our indications for SLAP lesion surgery. We still treat some SLAP lesions surgically and individualize our treatment in each such cases. Most SLAP lesion patients, however, are ultimately treated non-operatively.

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Treatment of superior labrum anterior posterior lesions: a literature review

Abstract: Biceps tenodesis may present a viable treatment option for SLAP repair or for failed SLAP repair in some patients.

Cited by 14 publications

References 68 publications

Treatment of SLAP Lesions

Treatment of SLAP Lesions

Arthroscopic Management of Superior Labrum Anterior to Posterior (Slap) Lesions

SLAP lesions, An Opinion Piece

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