title: A new anatomic technique for type II SLAP lesions repair.
abstract: OBJECTIVE
  A new and more anatomical technique for SLAP II lesions repair is described. It consists in the reattachment of the medial aspect of the biceps anchor to the superior glenoid neck with a mattress stitch posterior and medial to the biceps anchor and a simple stitch placed anteriorly to the biceps.
  
  
  METHODS
  From 2011 to 2012, 14 patients matching the inclusion criteria were selected for the study. A visual analogic scale, ROWE, UCLA, ASES and Constant scores were used to make evaluation. The passive ROM before surgery, at final follow-up, and the resumption of sports activities were analysed.
  
  
  RESULTS
  The Constant, ASES, UCLA and ROWE scores passed from 64.6 (SD 13.9), 76.9 (SD 22.4), 28.4 (SD 23.8) and 53.6 (SD 20.6) to, respectively, 92.6 (SD 11.8), 108.3 (SD 8.5), 33.6 (SD 2.7) and 96.5 (SD 7.2) at final follow-up. Of the four patients who had participated in agonistic overhead athletics preoperatively, all of them were able to return to their preinjury level. No complications were observed in the present study.
  
  
  CONCLUSIONS
  In our technique, the anatomy is respected leaving the articular aspect of the superior labrum loose and reinforcing the medial side. The clinical relevance of this work is that probably this technique could improve clinical results, giving a better mobility of the shoulder and a return to the same preoperative level in overhead athletes.
authors.affiliation: Shoulder and Elbow Unit, IRCCS Humanitas Institute, Rozzano, Milan, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Castagna
authors.affiliation: Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari, Piazza G. Cesare 11, 70124, Bari, Italy. silvanadegiorgi@virgilio.it.
authors.forename: Silvana
authors.initials: S
authors.lastname: De Giorgi
authors.affiliation: Shoulder Service, Miulli Hospital, Acquaviva delle Fonti, Bari, Italy.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Garofalo
authors.affiliation: Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy.
authors.forename: Silvio
authors.initials: S
authors.lastname: Tafuri
authors.affiliation: Shoulder and Elbow Unit, IRCCS Humanitas Institute, Rozzano, Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Conti
authors.affiliation: Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari, Piazza G. Cesare 11, 70124, Bari, Italy.
authors.forename: Biagio
authors.initials: B
authors.lastname: Moretti
mesh_terms: D000328:Adult; D001134:Arm Injuries / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods; D005260:Female; D051445:Fibrocartilage / Q000601:surgery; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012540:Scapula / Q000601:surgery; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery*; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*; D055815:Young Adult
keywords: Arthroscopic SLAP repair; SLAP lesion; Shoulder