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SLAP Tears.

Steven B Cohen^1,2, John R Matthews^1,2,3

¹Thomas Jefferson Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA.

Video Journal of Sports Medicine

|May 1, 2025

Summary

This summary is machine-generated.

Successful superior labral anterior-posterior (SLAP) repair is achievable in active patients over 35. This case highlights individualized treatment for SLAP tears, avoiding unnecessary biceps procedures for optimal outcomes.

Keywords:

SLAP lesion arthroscopy labral repair labral tear shoulder

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Area of Science:

Orthopedic Surgery
Sports Medicine
Shoulder Arthroscopy

Background:

Superior labral anterior-posterior (SLAP) tears are common in shoulder arthroscopy.
Outcomes of SLAP repair in young athletes are well-documented.
SLAP repair in older patients remains controversial due to potential complications and revision rates.

Purpose of the Study:

To present a case of successful SLAP repair in a highly active patient over 35.
To emphasize individualized treatment strategies for SLAP tears in this demographic.

Main Methods:

A knotless single-anchor SLAP repair was performed for a type IIB SLAP tear with posterior extension.
Debridement of the posterior labrum was done.
No biceps tenotomy or tenodesis was performed due to the absence of biceps tendon pathology.

Main Results:

The patient regained full range of motion at 6 months post-surgery.
She returned to her normal activities and sports, including tennis.

Conclusions:

Successful SLAP repair outcomes can be achieved in patients over 35.
Individualized treatment, considering concomitant pathologies of the rotator cuff, chondral surface, or biceps tendon, is crucial for optimal results.