APEX Advanced Shoulder Arthroscopy-Online Didactic (August 2021)-SLAP Lesions: Current Indications: Do’s and Don’ts of Fixation

SLAP Lesions: Current Indications: Do’s and Don’ts of Fixation

Video Transcription

Video Summary

The video discusses SLAP (Superior Labrum Anterior to Posterior) lesions, their anatomy, classification, diagnosis, and treatment options. SLAP tears involve the separation of the labrum and biceps tendon from the glenoid. The labrum enhances joint stability, while the biceps tendon provides anterior stabilization of the glenohumeral joint. SLAP tears are commonly associated with athletes involved in repetitive overhead sports and can cause shoulder pain, clicking, and a loss of throwing function. Diagnostic tests include O'Brien's test and the dynamic labral shear test. Imaging with MR arthrogram is usually necessary to evaluate the labrum. Treatment options include non-operative therapy and surgical repair or biceps tenodesis, with the choice depending on patient age, associated pathology, and other factors. The success rate of treatment varies and is influenced by patient age and activity level. Various surgical techniques, such as arthroscopic slap repair or open sub-pec biceps tenodesis, can be used for treatment. The optimal approach for slap treatment in young athletes remains a topic of debate and requires further study.

Asset Caption

Mary Mulcahey, M.D.

Keywords

SLAP lesions

anatomy

classification

diagnosis

treatment options