The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 26900552.
- Also identified by DOI 10.1016/j.eats.2015.05.009 and PMC identifier 4722167.
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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.