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Superior Labral Anterior to Posterior Tears: Repair, Tenodesis, or Both?
1Department of Orthopaedic Surgery and Biomedical Engineering, Campbell Clinic - University of Tennessee Health Science Center, 1400 S Germnatown Road, Germantown, TN 38138, USA.
Abstract:
Superior labrum anterior to posterior (SLAP) tears are highly prevalent in overhead athletes and heavy laborers. Biomechanical adaptations as well as anatomic factors make the area prone to injury with a diminished healing potential. Previously, SLAP tears were repaired frequently with often poor postoperative function secondary to increased stiffness. Recently, the trend has shifted toward addressing the bicep anchor with a bicep tenodesis. Return to sports is multifactorial and depends on type of activity; however, about 79.5% of athletes are able to return to sport after an isolated SLAP repair. The rate of return is lowest in professional pitchers.
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