Progress in arthroscopic surgery for injury of superior labrum anterior posterior of shoulder joint.
10.12200/j.issn.1003-0034.2023.02.020
- Author:
Zhi-Tao YANG
1
;
Ming-Tao ZHANG
1
;
Jian-Ping ZHOU
1
;
Ding WU
1
;
Tao LIU
1
;
Bo-Rong ZHANG
1
;
Xiang-Dong YUN
2
,
3
Author Information
1. Department of Orthopaedics, the Second Hospital of Lanzhou University, Lanzhou 730030, Gansu, China.
2. Department of Orthopaedics, the Second Hospital of Lanzhou University, Lanzhou 730030, Gansu, China
3. Key Laboratory of Bone and Joint Disease of Gansu Province, Lanzhou 730030, Gansu, China.
- Publication Type:Journal Article
- Keywords:
Arthroscopic surgery;
Review;
SLAP injury;
Treatment
- MeSH:
Humans;
Adult;
Shoulder Joint/surgery*;
Arthroscopy/methods*;
Tendon Injuries/surgery*;
Shoulder Injuries/surgery*;
Tenodesis/methods*
- From:
China Journal of Orthopaedics and Traumatology
2023;36(2):193-198
- CountryChina
- Language:Chinese
-
Abstract:
Superior labrum anterior posterior (SLAP) injury is a major challenge for orthopedic surgeons, due to the poor healing ability of the injured labrum. Although arthroscopic surgery is the gold standard for the treatment of SLAP injury, there are still disputes about the adaptation of different surgical techniques, the choice of anchors during operation, knotted or knotless anchors, and fixation methods. The authors believe that arthroscopic repair of SLAP lesions is effective for young patients with intact glenoid labrum(<35 years old) or with extensive activity, where single and knotless anchor is preferred. For the older patients(≥35 years old) with degeneration and wear of glenoid labrum, biceps tenodesis is more preferable, and interference screw fixation technique is recommended. As for patients with failed SLAP repair, biceps tenodesis can achieve a high success rate as a revision surgery. By review of the relevant literature in recent years, this paper summarizes the adaptation of different surgical methods of arthroscopic treatment of SLAP injury, intraoperative anchoring techniques, fixation methods and other improved surgical techniques.
