Published online Jul 18, 2014. doi: 10.5312/wjo.v5.i3.344
Revised: March 25, 2014
Accepted: April 3, 2014
Published online: July 18, 2014
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.
Core tip: The arthroscopic management of type 2 lesions in older patients can be biceps tenodesis, but young and active patients like throwers will need and arthroscopic repair.