Mileski R A, Snyder S J
Phoenix Orthopedic Group, Phoenix, Arizona, USA.
J Am Acad Orthop Surg. 1998 Mar-Apr;6(2):121-31. doi: 10.5435/00124635-199803000-00007.
Progress in shoulder arthroscopy has led to the identification of previously undiagnosed lesions involving the superior labrum and the biceps tendon anchor. Additional research has substantiated the role of the long head of the biceps tendon in anterior and rotational glenohumeral stability. Careful attention to the history and physical examination and directed diagnostic imaging may arouse suspicion of injury to the biceps tendon and the superior labral complex. Identification of injuries to the superior labrum extending from anterior to posterior, or "SLAP" injuries, can be made with diagnostic glenohumeral arthroscopy. Appropriate treatment can then be based on the type of lesion encountered (generally, debridement of most type I and III lesions and repair of type II and many type IV lesions).
肩关节镜检查技术的进步使得一些之前未被诊断出的涉及上盂唇和肱二头肌肌腱附着点的损伤得以被发现。更多的研究证实了肱二头肌长头在肩关节前向及旋转稳定性中的作用。仔细询问病史、进行体格检查以及针对性的诊断性影像学检查可能会引发对肱二头肌肌腱和上盂唇复合体损伤的怀疑。通过诊断性肩关节镜检查可以发现从前方延伸至后方的上盂唇损伤，即“SLAP”损伤。然后可根据所遇到的损伤类型进行适当的治疗（一般来说，大多数I型和III型损伤进行清创，II型和许多IV型损伤进行修复）。
