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SLAP lesions: a retrospective multicenter study

F Handelberg1, S Willems, M Shahabpour

  • 1Department of Orthopaedics and Traumatology, Academic Hospital V.U.B., Brussels, Belgium.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|December 16, 1998
PubMed
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This study found a 6% incidence of SLAP lesions during glenohumeral arthroscopy, consistent with prior research. Most lesions were Type II, often linked to overhead sports, with a low rate of rotator cuff tears.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Arthroscopy

Background:

  • Superior Labrum Anterior and Posterior (SLAP) lesions are common shoulder injuries.
  • Understanding the incidence, classification, and associated injuries of SLAP lesions is crucial for effective treatment.

Purpose of the Study:

  • To report the incidence and characteristics of SLAP lesions found during glenohumeral arthroscopy.
  • To compare findings with existing literature, particularly the classification and injury mechanisms.
  • To discuss treatment strategies and diagnostic challenges, including anatomic variations.

Main Methods:

  • Retrospective analysis of 530 glenohumeral arthroscopies.
  • Classification of SLAP lesions using Snyder's and Maffet's systems.

Related Experiment Videos

  • Review of injury mechanisms, associated lesions, and treatment regimens.

    • Main Results:

    • An incidence of 6% for SLAP lesions was identified.
    • Type II SLAP lesions comprised 53% of cases.
    • Traction, compression, and overhead sports were common injury mechanisms.
    • Rotator cuff injuries were present in only 10% of cases.
    • 34% of lesions were treated with arthroscopic fixation.

    Conclusions:

    • SLAP lesion incidence is consistent with previous studies.
    • SLAP types II, IV, and V require fixation.
    • Clinical presentation is often vague, and imaging has limitations.
    • Anatomic variations can lead to diagnostic and therapeutic errors.