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2016, Number 3

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Ortho-tips 2016; 12 (3)

Upper labrum lesions: SLAP

Valero GFS, Inzunza EGR

Language: Spanish
References: 55
Page: 145-155
PDF size: 648.46 Kb.


ABSTRACT

Upper labrum lesions are a condition that occurs in athletes with overhead action, such as pitchers, swimmers, basketball players, and in the general population as a result of traumatic events. Traumatic events and overuse changes have been proposed as causes. The diagnosis is mainly clinical and usually by exclusion, since the clinical tests lack sensitivity and specificity and are explorer dependent. Image studies in general do not provide clarity about the injury, so the correlation between the studies and the surgical findings is low. Treatment options are non-surgical for patients with low demand and surgery: repair versus tenodesis of the long biceps for the rest. Current evidence does not demonstrate superiority of one over the other, but the fail rate of repair makes the right patient selection important for this treatment.


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