AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Slap Lesions_ Current Indications

Slap Lesions_ Current Indications_ Do’s and Don’ts of Fixation

Video Transcription

Video Summary

This presentation covers SLAP lesions, emphasizing anatomy, classification, diagnosis, and treatment options. SLAP tears, common in overhead athletes, involve the superior labrum and biceps tendon, categorized into four types by Snyder. Diagnosis relies on physical exams (e.g., O'Brien's test), imaging (MR arthrogram), and clinical history. Initial treatment is non-operative with rehab; surgery is considered if conservative measures fail. Younger patients (<40) with type 2 tears often undergo labral repair, while older patients (>40) may benefit from biceps tenodesis, which shows high return-to-sport rates. The talk reviews surgical techniques and underscores tailoring treatment based on age, activity, and pathology.

Keywords

SLAP lesions

superior labrum

biceps tendon

Snyder classification

biceps tenodesis