[Superior labrum-biceps anchor complex].
The focus in overhead sport injuries of the shoulder has been directed on lesions of the superior labrum-biceps complex during the last few years. This is due to improved imaging modalities as well as a better understanding of the anatomy and biomechanics. Arthroscopy is capable of diagnosing and treating these lesions. The anatomy, biomechanics, and operative treatment strategies and techniques are described in detail. The superior labrum anterior-posterior (SLAP) lesion is found in young active overhead athletes. Based on their classification and concomitant lesions, the unstable SLAP lesions (types II and IV) have to be repaired in order to restore stability to the superior labrum-biceps complex for stabilizing the glenohumeral joint. According to our own results and after review of the current literature, SLAP repair yields good results in overhead athletes enabling them to return to pain-free participation in their sport.
Lichtenberg
S
S
Schulter- und Ellenbogenchirurgie, ATOS-Klinik, Heidelberg. lichtenberg@atos.de
Magosch
P
P
Habermeyer
P
P
D000328:Adult; D001265:Athletic Injuries / Q000145:classification / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D001696:Biomechanical Phenomena; D002358:Cartilage, Articular / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D012090:Cumulative Trauma Disorders / Q000145:classification / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000145:classification / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D017006:Rotator Cuff / Q000473:pathology / Q000601:surgery; D000070636:Rotator Cuff Injuries; D012783:Shoulder Dislocation / Q000145:classification / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D019534:Shoulder Impingement Syndrome / Q000145:classification / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000473:pathology / Q000601:surgery; D013536:Suture Techniques; D013708:Tendon Injuries; D013710:Tendons / Q000473:pathology / Q000601:surgery