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J Am Acad Orthop Surg, Vol 17, No 10, October 2009, 627-637.
© 2009 the American Academy of Orthopaedic Surgeons
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Superior Labral Tears of the Shoulder: Pathogenesis, Evaluation, and Treatment

Jay D. Keener, MD and Robert H. Brophy, MD

Dr. Keener is Assistant Professor, Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO. Dr. Brophy is Assistant Professor, Department of Orthopedic Surgery, Washington University School of Medicine.

Dr. Brophy has received research or institutional support from Breg. Neither Dr. Keener nor a member of his immediate family has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article.

Reprint requests: Dr. Keener, Department of Orthopedic Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8253, St. Louis, MO 63110.

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.






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Copyright © 2009 by the American Academy of Orthopaedic Surgeons.