AANA Shoulder Arthroscopy - August 2024-SLAP Lesions_ Current Indications

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

Video Transcription

Video Summary

This talk addressed SLAP lesions, focusing on anatomy, classification, diagnosis, and treatment. The labrum stabilizes the shoulder joint and anchors the biceps tendon. SLAP tears are classified into types 1-4, with type 2 being most common. Diagnosis is challenging due to overlapping pathologies; clinical tests and MR arthrograms aid assessment. Treatment starts non-operative, progressing to surgery—either repair or biceps tenodesis—based on age and tear type. Younger patients often undergo repairs; those over 40 may benefit from tenodesis. Outcomes vary, with many athletes returning to sport. Surgical techniques include arthroscopic repair and open subpec biceps tenodesis. Patient age, sport, and pathology guide management.

Asset Caption

Mary Mulcahey, MD

Keywords

SLAP lesions

shoulder labrum

biceps tenodesis

arthroscopic repair

shoulder joint stability