This 2003 narrative review by Nam and Snyder — the latter having coined the term SLAP lesion in 1990 — comprehensively covers the anatomy, biomechanics, classification, diagnosis, and surgical management of superior labrum anterior-posterior lesions, synthesizing the available literature on outcomes across multiple repair techniques.
When you encounter a young overhead athlete with vague anterior shoulder pain, a positive O'Brien or Biceps Load Test II, and an MR arthrogram showing a deep cleft at the biceps anchor, suspect a Type II SLAP and plan for suture anchor repair rather than debridement — debridement alone for unstable lesions produces steadily declining results and leaves occult instability untreated.
Always rule out the Buford complex and sublabral foramen before labeling anterosuperior labral absence as pathologic, and assess for concomitant rotator cuff and Bankart pathology, which co-exist in the majority of cases.
This 2003 narrative review by Nam and Snyder — the latter having coined the term SLAP lesion in 1990 — comprehensively covers the anatomy, biomechanics, classification, diagnosis, and surgical management of superior labrum anterior-posterior lesions, synthesizing the available literature on outcomes across multiple repair techniques.
When you encounter a young overhead athlete with vague anterior shoulder pain, a positive O'Brien or Biceps Load Test II, and an MR arthrogram showing a deep cleft at the biceps anchor, suspect a Type II SLAP and plan for suture anchor repair rather than debridement — debridement alone for unstable lesions produces steadily declining results and leaves occult instability untreated.
Always rule out the Buford complex and sublabral foramen before labeling anterosuperior labral absence as pathologic, and assess for concomitant rotator cuff and Bankart pathology, which co-exist in the majority of cases.