OPINION ARTICLE
SLAP lesions, An Opinion Piece
Cecilie P. Schrøder*
Article Information
Identifiers and Pagination:
Year: 2018Volume: 12
Issue: Suppl-1, M10
First Page: 342
Last Page: 345
Publisher ID: TOORTHJ-12-342
DOI: 10.2174/1874325001812010342
Article History:
Received Date: 10/3/2018Revision Received Date: 28/4/2018
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
SLAP lesions were first classified by Snyder in 1990. Results of treatment have been controversial without clear consensus. All have agreed that prospective studies would be useful. We conducted such a study between 2008 to 2114 that randomized treatment between sham surgery, biceps tenodesis and labral repair. No significant differences in results between the groups were found. Crossover between groups was only possible from the sham surgery group and this may introduce some degree of bias. However, the six month outcomes between all three groups before any crossover were statistically identical. Our results also do not favor biceps tenodesis versus SLAP repair when surgery is performed. Based on these results we have narrowed our indications for SLAP lesion surgery. We still treat some SLAP lesions surgically and individualize our treatment in each such cases. Most SLAP lesion patients, however, are ultimately treated non-operatively.