title: The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair.
abstract: The annual incidence and number of repairs of SLAP lesions in the United States are constantly increasing. Surgical repairs of type II SLAP lesions have overall good success rates. However, a low satisfaction rate and low rate of return to preinjury level of play remain a challenge with elite overhead and throwing athletes. Recent anatomic studies suggest that current surgical techniques over-tension the biceps anchor and the superior labrum. These studies suggest that restoration of the normal anatomy will improve clinical outcomes and sports performance. We present a "double-pulley" technique for arthroscopic fixation of type II SLAP lesions. In this technique the normal anatomy is respected by preserving the mobility of the articular aspect of the superior labrum while reinforcing the biceps anchor and its posterior fibers medially.
authors.affiliation: Tri County Orthopedic Center, Carthage, New York, U.S.A.
authors.forename: Nata
authors.initials: N
authors.lastname: Parnes
authors.affiliation: Clarkson University, Potsdam, New York, U.S.A.
authors.forename: Mario
authors.initials: M
authors.lastname: Ciani
authors.affiliation: Department of Orthopaedic Surgery, Guthrie Army Health Clinic, Fort Drum, New York, U.S.A.
authors.forename: Brian
authors.initials: B
authors.lastname: Carr
authors.affiliation: Department of Orthopaedic Surgery, Guthrie Army Health Clinic, Fort Drum, New York, U.S.A.
authors.forename: Paul
authors.initials: P
authors.lastname: Carey