Abstract
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.
Highlights
Andrews et al described in 1985 initially the Superior Labrum Anterior and Posterior (SLAP) lesion [1, 2]
The arthroscopic treatment of symptomatic SLAP lesions in young active patients leads to excellent clinical results with reduced pain and return to previous daily activity or sport level
Beyzadeoglu et al [5] described the most common pathologies coexisting with a SLAP lesion in elite athletes
Summary
Andrews et al described in 1985 initially the Superior Labrum Anterior and Posterior (SLAP) lesion [1, 2]. Snyder first presented in 1990 a comprehensive classification of the SLAP lesions [3]. The SLAP lesions were with this classification separated in four different types. The Snyder classification provides an anatomic description of the SLAP lesion as well as a general picture of the severity of the injury. The exact classification of the SLAP lesion should be made intraoperatively during the. 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
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