Arthroscopic repair of superior glenoid labral detachment (the SLAP lesion).

摘要: Complete detachment of the glenoid labrum from superior pole glenoid, which is associated with a destabilization origin long biceps tendon, leads to altered function in shoulder joint. This especially noticeable when used overhead activities. Two operative techniques are described for reattachment glenoid. In first six patients was reattached small cannulated titanium screws. five these screws were inserted under arthroscopic control cranial direction. The always just behind tendon. most favorable portal identified by percutaneous probing Kirschner wire. If could not be reached via placed anterior or medial acromion, hole drilled through and transacromial approach used. removed arthroscopy after 3 5 months. last eight patients, absorbable tacks instead Of 18 who showed complete attachment 14 underwent as previously. minimum follow-up time greater than 6 months (mean months, maximum 30 months). At follow-up, felt completely rehabilitated had resumed their previous activities (overhead sports). Four believed conditions improved. experienced any improvement. undergone shaving free margin labrum, only one improvement, while other three did report