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[In Process Citation]

Imhoff1, Agneskirchner, Konig

  • 1Abteilung fur Sportorthopadie, Technische Universitat|| Munchen (TUM), Connollystrasse 32, 80809, Munchen.|| A.lmhoff@lrz.tum.de

Der Orthopade
|December 16, 2000
PubMed
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Superior labrum anterior to posterior (SLAP) lesions can cause shoulder instability and pain in athletes. Surgical repair of unstable SLAP lesions reestablishes biceps tendon stability for long-term pain-free function.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Arthroscopy

Background:

  • Superior glenoid labral lesions are increasingly implicated in sports-related shoulder problems.
  • These lesions, particularly SLAP lesions, can lead to shoulder instability, impingement, and rotator cuff disease in overhead athletes.

Purpose of the Study:

  • To investigate the diagnosis and arthroscopic treatment of superior labral/biceps pathology.
  • To emphasize the importance of anatomical reconstruction for restoring shoulder function in athletes.

Main Methods:

  • Diagnosis via MRI with intra-articular contrast and arthroscopy.
  • Arthroscopic refixation of unstable SLAP lesions (types 2 and 4) using suture anchors.

Main Results:

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  • Fifty cases of SLAP lesion repair were analyzed over four years.
  • Successful refixation reestablished the stabilizing effect of the biceps tendon on the shoulder joint.

    • Conclusions:

    • Anatomical reconstruction of the unstable biceps origin is crucial for treating SLAP lesions.
    • This causal therapy is essential for achieving long-term pain-free shoulder function in competitive athletes, especially throwers.