الفهرس 
ANATOMYOnly 14 pages are availabe for public view
 |  | from | 200 |  |  |
| | | from | 200 | | |
Abstract
SLAP lesions can be a source of pain and disability in patients, particularly during overhead activity. Diagnosing a SLAP lesion remains a challenge for clinicians treating shoulder disorders. Clinical examination to detect SLAP lesions can often be difficult because of the presence of concomitant pathology. A wide variety of physical examinations have been described to help diagnose the presence of SLAP lesions. A comprehensive approach, including a thorough history and physical examination, standard shoulder radiographs, and, often, MRI, will most likely allow the clinician to successfully diagnose this condition. Surgical intervention is often a successful option for the patient with a SLAP lesion who wishes to return to optimal function. Addressing concomitant shoulder disorders at the time of surgery as well as recognizing normal superior labral variants are crucial to ensure a successful outcome. Finally, a well-organized postoperative rehabilitation program is mandatory for optimal results, and the patient undergoing such surgery should be well aware of its importance.
Several studies have documented successful surgical treatment of SLAP lesions. The majority of publications address results following surgical repair of type II SLAP lesions, because these are the most common type. In general, approximately 90% of patients demonstrate good or excellent results at the short to intermediate follow-up, but there is a paucity of long term follow-up studies. Several recent publications have provided additional insight into our understanding of surgical results after SLAP repair with tenotomy and tenodesis of the long head of biceps becoming an appealing and increasingly popular alternative especially in older patients.
The present study was conducted on 20 patients with a mean age of 27.3 years for a mean follow up of 13 months. There were 19 males and only 1 female, with 17 dominant shoulders and 3 non-dominant shoulders. The mean DASH score improved from 31.7±5.8 preoperatively to 14.8±3.9 at 12 months post-operative. In the same time, the mean Constant score improved from 64.1±7.2 to 89.4±9. The overall patient satisfaction was 85% and 77% of the athletes in the study returned to their favorite sport. In addition, glenohumeral internal rotation deficit (GIRD) was a definite finding in all overhead athletes in the study and it should be specifically addressed with posteroinferior capsular stretching with or without arthroscopic capsulotomy. Furthermore, our results support the good clinical outcome achieved with SLAP repair especially with younger, traumatic patients, with suture anchors placed either anterior or posterior to the biceps anchor and not directly beneath it.