Hamula Mathew, Mahure Siddharth A, Kaplan Daniel J, Mollon Brent, Zuckerman Joseph D, Kwon Young W, Rokito Andrew S
NYU Hospital for Joint Diseases, New York, New York, U.S.A.
Arthrosc Tech. 2017 Nov 13;6(6):e2137-e2142. doi: 10.1016/j.eats.2017.08.030. eCollection 2017 Dec.
Arthroscopic SLAP tear repair has become an increasingly used treatment for patients presenting with symptomatic SLAP tears after failed nonoperative management. Debridement, SLAP repair, and open or arthroscopic biceps tenodesis or tenotomy have been used for the treatment of SLAP tears. Various techniques for repair have been described, and furthermore, there is a high incidence of concomitant pathology of the shoulder. Repair remains an excellent option in isolated SLAP tears amenable to repair, with excellent outcomes in well-indicated patients. We present a method for repairing a SLAP tear using standard suture anchor fixation, anterior and posterior portals, and an accessory portal of Wilmington. Adequate labral repair can be achieved with this technique in patients with no concomitant biceps pathology. This report highlights this technique for SLAP repair in patients with isolated symptomatic SLAP tears that have failed conservative management.
对于非手术治疗失败后出现症状性SLAP损伤的患者,关节镜下SLAP损伤修复已成为一种越来越常用的治疗方法。清创、SLAP修复以及开放或关节镜下肱二头肌固定术或肌腱切断术已用于治疗SLAP损伤。已经描述了各种修复技术,此外,肩部合并病变的发生率很高。对于适合修复的孤立性SLAP损伤,修复仍然是一个很好的选择,在适应证明确的患者中可取得优异的效果。我们介绍一种使用标准缝线锚钉固定、前后入路以及威尔明顿辅助入路修复SLAP损伤的方法。对于没有合并肱二头肌病变的患者,采用该技术可实现充分的盂唇修复。本报告重点介绍了这种用于保守治疗失败的孤立性症状性SLAP损伤患者的SLAP修复技术。