Superior labrum anterior to posterior lesions of the shoulder: Diagnosis and arthroscopic management  

作　　者：Nuri Aydin Evrim Sirin Alp Arya 

机构地区：[1]Department of Orthopedics and Traumatology,Cerrahpasa Medical School,University of Istanbul,34116 Istanbul,Turkey [2]FSM Research and Teaching Hospital,Turkish Ministy of Health,34400 Istanbul,Turkey

出　　处：《World Journal of Orthopedics》2014年第3期344-350,共7页世界骨科杂志（英文版）

摘　　要：After the improvement in arthroscopic shoulder surgery,superior labrum anterior to posterior(SLAP)tears are increasingly recognized and treated in persons with excessive overhead activities like throwers.Several potential mechanisms for the pathophysiology of superior labral tears have been proposed.The diagnosis of this condition can be possible by history,physical examination and magnetic resonance imaging combination.The treatment of type 1 SLAP tears in many cases especially in older patients is non-operative but some cases need arthroscopic intervention.The arthroscopic management of type 2 lesions in older patients can be biceps tenodesis,but young and active patients like throwers will need an arthroscopic repair.The results of arthroscopic repair in older patients are not encouraging.The purpose of this study is to perform an overview of the diagnosis of the SLAP tears and to help decision making for the surgical management.After the improvement in arthroscopic shoulder surgery, superior labrum anterior to posterior(SLAP) tears are increasingly recognized and treated in persons with excessive overhead activities like throwers. Several potential mechanisms for the pathophysiology of superior labral tears have been proposed. The diagnosis of this condition can be possible by history, physical examination and magnetic resonance imaging combination. The treatment of type 1 SLAP tears in many cases especially in older patients is non-operative but some cases need arthroscopic intervention. The arthroscopic management of type 2 lesions in older patients can be biceps tenodesis, but young and active patients like throwers will need an arthroscopic repair. The results of arthroscopic repair in older patients are not encouraging. The purpose of this study is to perform an overview of the diagnosis of the SLAP tears and to help decision making for the surgical management.

关 键 词：Superior LABRUM ANTERIOR to POSTERIOR tear GLENOID LABRUM Arthroscopy Repair SHOULDER 

分 类 号：R687.4[医药卫生—骨科学]