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Arthroscopic repair of Type IIa and IIb SLAP lesions
Published in Andreas B. Imhoff, Jonathan B. Ticker, Augustus D. Mazzocca, Andreas Voss, Atlas of Advanced Shoulder Arthroscopy, 2017
Through the anterior portal, a probe is inserted and the attachment of the superior labrum is examined. There is a great deal of controversy about what actually constitutes a true SLAP lesion and what is a variant of normal. In the author's opinion, a SLAP tear is present if the superior labrum and biceps can be elevated off the superior aspect of the glenoid, exposing not only the superior articular cartilage but also the non-articular bone medial to the articular cartilage rim (see Figures 15.1 and 15.2). If a SLAP lesion is suspected, the arm is then removed from the mechanical arm holder. Under direct arthroscopic visualization, the arm is abducted, externally rotated, and extended. In a true SLAP lesion, the superior labrum and biceps will “peel back” off the superior glenoid to expose the non-articular bone (see Figure 15.3).
Test Paper 1
Published in Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike, Get Through, 2017
Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike
The anteroinferior glenoid labrum is typically injured in an anterior shoulder dislocation. All of the aforementioned injuries except for the superior labral anterior–posterior (SLAP) tear involve the anteroinferior labrum. The glenolabral articular disruption (GLAD) lesion is a partial tear of the anteroinferior labrum with an associated glenoid cartilage injury. Perthes lesion is a complete tear of the labrum, which is still attached to the glenoid periosteum. An anterior labroligamentous periosteal sleeve avulsion (ALPSA) injury is similar to the Perthes lesion but with medial displacement of the torn labrum, which is still attached to the glenoid scapula periosteal sleeve.
Longitudinal assessments of strength and dynamic balance from pre-injury baseline to 3 and 4 months after labrum repairs in collegiate athletes
Published in Physiotherapy Theory and Practice, 2022
Ling Li, Brenna K. McGuinness, Jacob S. Layer, Yu Song, Megan A. Jensen, Boyi Dai
Sports-related labrum tears are associated with the high-risk repetitive motion and excessive contact force to the shoulder in sports. For example, the most common type (i.e. superior labrum tear and biceps tendon stripping) of SLAP tears is likely caused by repetitive overhead motion (Modarresi, Motamedi, and Jude, 2011). A mechanism of this injury is an abducted and externally rotated shoulder at a high velocity with a strongly activated biceps muscle, which often occurs in baseball pitching, tennis stroking, and volleyball spiking (Modarresi, Motamedi, and Jude, 2011). One frequent non-SLAP tear is the Bankart lesions, mostly occurring as anteroinferior tears of glenoid labrum due to anterior glenohumeral dislocation (McCarty, Ritchie, Gill, and McFarland, 2004). The anterior dislocation likely results from excessive external rotation and abduction of the shoulder, which forces the humerus out of the glenoid socket, damaging anterior structures in the process (Cutts, Prempeh, and Drew, 2009). As such, contact sports and collision sports such as American football and wrestling have an increased risk of anterior glenohumeral dislocations and Bankart lesions (Cho, Hwang, and Rhee, 2006; Mazzocca et al., 2005).
Surgical management of type II superior labrum anterior posterior (SLAP) lesions: a review of outcomes and prognostic indicators
Published in The Physician and Sportsmedicine, 2019
Sean Sullivan, Ian D. Hutchinson, Emily J Curry, Lee Marinko, Xinning Li
Regarding reoperation following isolated SLAP lesion, Mollon at al. [49]. identified a 10.1% incidence of subsequent surgery in their study that included over 2,500 SLAP repairs performed in New York State between 2003 and 2014. They attributed their high reoperation incidence to additional diagnoses cautioning that pain generation in the shoulder is often multifaceted and the isolated diagnosis of a SLAP tear should continue to be challenged in the perioperative period. The authors also observed the shift towards biceps tenodesis or tenotomy over revision repair of the SLAP lesion in more recent years coincident with general trends. Contextually the need for reoperation can be distinguished from the incidence of re-tear which is often asymptomatic and does not necessarily correlate with clinical outcome scores [50].