Home > Journals > Minerva Ortopedica e Traumatologica > Past Issues > Minerva Ortopedica e Traumatologica 2014 October;65(5) > Minerva Ortopedica e Traumatologica 2014 October;65(5):305-19

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
Indexed/Abtracted in: EMBASE, Scopus, Emerging Sources Citation Index


eTOC

 

  TARGETING SHOULDER


Minerva Ortopedica e Traumatologica 2014 October;65(5):305-19

language: English

SLAP repair: current update

Mallo G. C., Golijanin P., Gross D. J., Murphy P. W., Provencher M. T.

Sports Medicine, Massachusetts General Hospital, Boston, MA, USA


PDF  


The superior labral anterior-posterior tear is intimately associated with the long head of the biceps, which originates at the supraglenoid tubercle and the superior glenoid labrum. Along with the short head of biceps, they play important role in shoulder stability and the role increases as the shoulder instability increases. While it is known that the glenoid labrum itself functions to improve joint stability by creating a concavity which aids in compressive joint reactive forces and increases the effective diameter of the glenoid, the specific contribution of the superior labrum to stability is under investigation. There have been several attempts to identify the role of the superior labrum in augmenting glenohumeral joint stability, which is of particular interest for treating broad range of patients, from low demand to the elite overhead throwing athlete. Accurate diagnosis is confounded by the numerous injury mechanisms as well as the preponderance of coexisiting pathology, which makes physical exam findings difficult to interpret. Non-surgical treatment is focused on improvement of posterior capsule flexibility, strengthening the rotator cuff and scapular stabilizers, and on correcting scapular mechanics. Surgical techniques range from simple minimal debridement to extensive labral repair. Postoperative rehabilitation is guided by the type of procedure performed and post-operative patient demands.

top of page

Publication History

Cite this article as

Corresponding author e-mail