Scope Essentials 2024-SLAP Repair

Video Transcription

Video Summary

The presentation discusses SLAP (superior labral anterior-posterior) tears in throwing athletes, emphasizing a shift from indiscriminate repairs to a nuanced, clinical approach. SLAP lesions are common but often degenerative and variable, requiring careful diagnosis through history, exam, MR arthrogram, and arthroscopy. Overhead throwers may experience "bad slaps," symptomatic during ball release or deceleration, linked to posterior shoulder instability and biceps tendon function. Surgical repair, reserved for failed nonoperative cases, involves precise portal placement and knotless anchors to avoid complications. Preservation of the biceps tendon is crucial for dynamic shoulder stability. A holistic, biomechanical understanding guides effective treatment rather than relying solely on SLAP classification.

Asset Caption

Josef Eichinger, M.D.

Keywords

SLAP tears

throwing athletes

shoulder instability

biceps tendon preservation

arthroscopic surgical repair