Technique for Type IV SLAP Lesion Repair.

Area of Science:

• Orthopedic surgery
• Sports medicine
• Shoulder arthroscopy

Background:

• Type IV Superior Labrum Anterior-Posterior (SLAP) tears are complex injuries involving the superior labrum and biceps tendon.
• Surgical options include labral repair or biceps tenodesis, with subpectoral biceps tenodesis showing promise for Type II and IV SLAP lesions.

Purpose of the Study:

• To present a surgical technique for treating Type IV SLAP tears.
• This technique combines arthroscopic superior labrum repair using suture anchors and open subpectoral biceps tenodesis with an interference screw.

Main Methods:

• Arthroscopic repair of the superior labrum utilizing suture anchors.
• Open subpectoral biceps tenodesis performed with an interference screw.

Main Results:

• The study presents a combined surgical technique for Type IV SLAP tears.
• This approach aims to address both the labral tear and associated biceps tendon pathology.

Conclusions:

• The described technique offers a viable surgical option for Type IV SLAP tears.
• This combined approach may lead to favorable clinical outcomes by addressing the complex nature of these injuries.