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[Superior labrum pathology in the athlete].

A B Imhoff1, J D Agneskirchner, U König

  • 1Abteilung für Sportorthopädie, Technische Universität München (TUM), Connollystrasse 32, 80809, München. A.lmhoff@lrz.tum.de

Der Orthopade
|January 6, 2001
PubMed
Summary

Superior labrum from anterior to posterior (SLAP) lesions cause shoulder instability and pain in athletes. Anatomical reconstruction of the biceps is crucial for long-term pain-free shoulder function.

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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 and secondary issues like impingement and rotator cuff disease, especially in overhead athletes.

Purpose of the Study:

  • To discuss the diagnosis and treatment of superior labral/biceps pathology.
  • To present arthroscopic techniques for repairing SLAP lesions with unstable biceps origins.

Main Methods:

  • Review of clinical understanding and diagnostic tools for superior labral/biceps pathology.
  • Presentation of arthroscopic repair techniques for SLAP types 2 and 4 using suture anchors based on 50 cases.

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Main Results:

  • SLAP lesions with unstable biceps origins (types 2 and 4) require operative refixation.
  • Arthroscopic repair reestablishes the stabilizing effect of the biceps tendon on the shoulder joint.

Conclusions:

  • Anatomical reconstruction of the unstable biceps is the causal therapy for SLAP lesions.
  • Successful repair ensures long-term pain-free shoulder function in athletes, particularly throwers.