SLAP-Repair („superior labrum anterior posterior“) vs. Tenodese beim Sportler: Ist ein Repair noch zeitgemäß?

Lucca Lacheta, Frank Martetschläger

Publikation: Beitrag in FachzeitschriftArtikelBegutachtung

Abstract

The etiology of SLAP (superior labrum anterior posterior) lesions, particularly in overhead athletes, is a matter of controversy and ultimately has a multifactorial genesis. It is essential to deal with the (persistent) loads on the SLAP in athletes, especially when considering the success of any treatment. Despite multiple clinical tests and high-resolution imaging, the diagnosis of isolated SLAP lesions is difficult and is often achieved by exclusion of other pathologies. The treatment of the SLAP lesion depends on the type of rupture, patient age, concomitant pathologies and the patient’s functional demands. A conservative therapy attempt should primarily be made to address functional deficits, including glenohumeral internal rotation deficit (GIRD) syndrome and scapular protraction. In case of SLAP lesions with a traumatic origin, patient age < 25 years, active athletes and/or overhead athletes, primary SLAP repair can enable good results with a high return to the original level of sport. For degenerative SLAP lesions and older patients (> 25 years), it has been shown that biceps tenodesis is advantageous.

Titel in ÜbersetzungSuperior labrum anterior posterior (SLAP) repair vs. tenodesis in athletes: is repair still the best option?
OriginalspracheDeutsch
Seiten (von - bis)232-239
Seitenumfang8
FachzeitschriftObere Extremitat
Jahrgang18
Ausgabenummer4
DOIs
PublikationsstatusVeröffentlicht - Dez. 2023
Extern publiziertJa

Schlagwörter

  • Biceps
  • Compression
  • Impingement
  • Long head of the biceps
  • Microtrauma

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