SLAP, Biceps, or Both: How to Manage this Difficult Problem in our Overhead Athletes (AANA19)-Slap Biceps, or Both_ What's the Problem-Dr. Anthony A. Romeo, M.D.

Slap Biceps, or Both_ What's the Problem-Dr. Anthony A. Romeo, M.D.

Video Transcription

Video Summary

The discussion addresses trends in treating SLAP (superior labrum anterior to posterior) lesions and biceps tendon issues, based on recent research analyzing a broad insurance database. Over the past decade, surgical management of SLAP tears has declined, especially SLAP repairs in patients over 40, due to poor outcomes like stiffness. Instead, biceps tenodesis has increasingly become preferred, though combined SLAP repair and tenodesis lacks proven superiority. Among overhead athletes, especially baseball players, shoulder surgeries remain common, with labral debridement favored over biceps procedures. Managing shoulder pathology involves complex factors including scapular mechanics, with ongoing debate and evolving strategies to optimize outcomes.

Asset Caption

Instructional Course Lecture: SLAP, Biceps, or Both: How to Manage this Difficult Problem in our Overhead Athletes

Keywords

SLAP lesions

biceps tenodesis

shoulder surgery trends

overhead athletes

scapular mechanics