Controversies in the Overhead Athlete's Shoulder (AANA22)-The Dreaded SLAP in the Throwing Shoulder_ When to Perform SLAP Repair or Biceps Tenodesis

The Dreaded SLAP in the Throwing Shoulder_ When to Perform SLAP Repair or Biceps Tenodesis

Video Transcription

Video Summary

Mike Freehill, a former pro baseball player, discussed the challenges and considerations in treating throwers' shoulder injuries, particularly SLAP tears and bicep tenodesis. He emphasized avoiding surgery if possible, focusing on thorough physical exams and rehabilitation addressing scapular dyskinesia, posterior capsule tightness, and core strength. Diagnosing SLAP tears is complex, with MRI limitations and varied tear types impacting outcomes. Repair techniques vary, with knotless luggage-tag methods and absorbable sutures preferred to avoid over-tightening and loss of external rotation. Bicep tenodesis is reserved for failed SLAP treatments but is less effective in throwers. Collaboration with knowledgeable therapists is crucial for optimal return to play.

Asset Caption

Michael T. Freehill, M.D.

Keywords

throwers' shoulder injuries

SLAP tears

bicep tenodesis

rehabilitation techniques

shoulder surgery alternatives