Department of Orthopaedic Surgery, University of Michigan, 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48106, USA.
Am J Sports Med. 2013 Feb;41(2):444-60. doi: 10.1177/0363546512466067. Epub 2012 Nov 20.
Injury to the superior glenoid labrum is increasingly recognized as a significant source of shoulder pain and dysfunction in the throwing athlete. Several theories have been proposed to explain the pathogenesis of superior labral anterior posterior (SLAP) tears. The clinical examination of the superior labrum-biceps tendon complex remains challenging because of a high association of other shoulder injuries in overhead athletes. Many physical examination findings have high sensitivity and low specificity. Advances in soft tissue imaging such as magnetic resonance arthrography allow for improved detection of labrum and biceps tendon lesions, although correlation with history and physical examination is critical to identify symptomatic lesions. Proper treatment of throwers with SLAP tears requires a thorough understanding of the altered biomechanics and the indications for nonoperative management and arthroscopic treatment of these lesions.
肩袖上盂唇损伤（SLAP）作为投掷运动员肩部疼痛和功能障碍的一个重要原因，越来越受到关注。目前有多种理论来解释 SLAP 损伤的发病机制。由于在投掷运动员中，其他肩部损伤的发生率较高，因此对肩袖上盂唇-肱二头肌长头腱复合体的临床检查仍然具有挑战性。许多体格检查结果具有较高的敏感性和较低的特异性。磁共振关节造影等软组织成像技术的进步提高了对盂唇和肱二头肌长头腱病变的检出率，尽管与病史和体格检查的相关性对于识别有症状的病变至关重要。对于 SLAP 撕裂的投掷运动员，需要深入了解其生物力学改变，以及非手术治疗和关节镜治疗这些病变的适应证。
