2021 Annual Meeting Shoulder Access Pass-My Evolution in Managing SLAP Lesions Over the Past 20 Years

My Evolution in Managing SLAP Lesions Over the Past 20 Years

Video Transcription

Video Summary

The speaker reviews over 40 years of research and treatment of SLAP (superior labrum anterior posterior) lesions in baseball throwers. Early understanding attributed tears to biceps tendon traction during throwing. Various injury mechanisms and classifications emerged, including Snyder’s four types and the peelback phenomenon. Traditional treatments ranged from debridement to repairs and biceps tenodesis, but outcomes remain mixed, with a 62% return-to-play rate after repairs. Conservative treatment emphasizing strength and flexibility is prioritized before surgery. Recent trends favor less invasive debridement and knotless arthroscopic techniques. Challenges persist in diagnosis, treatment success, and healing, especially in high-level throwers.

Asset Caption

Dr. James Andrews | The Thrower's Shoulder

Keywords

SLAP lesions

baseball throwers

biceps tendon traction

arthroscopic techniques

return-to-play rate