RESEARCH ARTICLE
Treatment of SLAP Lesions
Apostolos Stathellis1, *, Emmanouil Brilakis1, Jim-Dimitris Georgoulis3, Emmanouil Antonogiannakis1, Anastasios Georgoulis2
Article Information
Identifiers and Pagination:
Year: 2018Volume: 12
Issue: Suppl-1, M4
First Page: 288
Last Page: 294
Publisher ID: TOORTHJ-12-288
DOI: 10.2174/1874325001812010288
Article History:
Received Date: 5/3/2018Revision Received Date: 20/4/2018
Acceptance Date: 24/5/2018
Electronic publication date: 31/7/2018
Collection year: 2018
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background:
The surgical treatment of a Superior Labrum Anterior and Posterior (SLAP) lesion becomes more and more frequent as the surgical techniques, the implants and the postoperative rehabilitation of the patient are improved and provide in most cases an excellent outcome.
Objective:
However, a standard therapy of SLAP lesions in the shoulder surgery has not been established yet. An algorithm on how to treat SLAP lesions according to their type and data on the factors that influence the surgical outcome is essential for the everyday clinical practice.
Method:
In this article, a retrospective evaluation of patients with SLAP lesion, treated surgically in our orthopaedic clinic was conducted.
Results:
According to the clinical outcome and our experience with the surgical therapy of SLAP lesions we demonstrate an algorithm on the proper therapeutic approach.
Conclusion:
SLAP I lesions are treated with debridement. Most controversies concern patients with SLAP II lesions, whose therapy is either fixation of the superior labrum or tenotomy/tenodesis of the long head of the biceps tendon. For patients with SLAP III or IV lesions the most commonly accepted approach is tenotomy or tenodesis of the long head of biceps tendon.