Keener Jay D, Brophy Robert H
Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
J Am Acad Orthop Surg. 2009 Oct;17(10):627-37. doi: 10.5435/00124635-200910000-00005.
Lesions of the superior glenoid labrum and biceps anchor are a well-recognized cause of shoulder pain. Advances in shoulder arthroscopy have led to improvements in recognizing and managing superior labral anterior-posterior (SLAP) tears. Recent biomechanical studies have postulated several theories for the pathogenesis of SLAP tears in throwing athletes and the effect of these injuries on normal shoulder kinematics. Advances in soft-tissue imaging techniques have resulted in improved accuracy in diagnosing SLAP tears. However, the diagnosis of clinically relevant SLAP tears remains challenging because of the lack of specific examination findings and the frequency of concomitant shoulder injuries. Definitive diagnosis of suspected SLAP tears is confirmed on arthroscopic examination. Advances in surgical techniques have made it possible to achieve secure repair in selected patterns of injury. Recent outcomes studies have shown predictably good functional results and an acceptable rate of return to sport and/or work with arthroscopic treatment of SLAP tears.
肩胛盂上唇和肱二头肌附着点损伤是肩痛的一个公认原因。肩关节镜检查技术的进步使得在识别和处理上盂唇前后（SLAP）撕裂方面取得了进展。最近的生物力学研究针对投掷运动员SLAP撕裂的发病机制以及这些损伤对正常肩部运动学的影响提出了几种理论。软组织成像技术的进步提高了诊断SLAP撕裂的准确性。然而，由于缺乏特异性的检查结果以及合并肩部损伤的频率较高，临床上相关的SLAP撕裂的诊断仍然具有挑战性。疑似SLAP撕裂的确诊需通过关节镜检查来证实。手术技术的进步使得在特定损伤模式下能够实现可靠的修复。最近的疗效研究表明，通过关节镜治疗SLAP撕裂，可预期获得良好的功能结果以及可接受的重返运动和/或工作的比率。
