Superior Labral Anterior to Posterior Tears: Repair, Tenodesis, or Both?

Abstract

Superior labrum anterior to posterior (SLAP) tears are highly prevalent in overhead athletes and heavy laborers. Biomechanical adaptations as well as anatomic factors make the area prone to injury with a diminished healing potential. Previously, SLAP tears were repaired frequently with often poor postoperative function secondary to increased stiffness. Recently, the trend has shifted toward addressing the bicep anchor with a bicep tenodesis. Return to sports is multifactorial and depends on type of activity; however, about 79.5% of athletes are able to return to sport after an isolated SLAP repair. The rate of return is lowest in professional pitchers.