The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair
The annual incidence and number of repairs of SLAP lesions in the United States are constantly increasing. Surgical repairs of type II SLAP lesions have overall good success rates. However, a low satisfaction rate and low rate of return to preinjury level of play remain a challenge with elite overhe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2015-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628715000742 |
| _version_ | 1818595153784340480 |
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| author | Nata Parnes, M.D. Mario Ciani, D.C. Brian Carr, M.D. Paul Carey, M.D. |
| author_facet | Nata Parnes, M.D. Mario Ciani, D.C. Brian Carr, M.D. Paul Carey, M.D. |
| author_sort | Nata Parnes, M.D. |
| collection | DOAJ |
| description | The annual incidence and number of repairs of SLAP lesions in the United States are constantly increasing. Surgical repairs of type II SLAP lesions have overall good success rates. However, a low satisfaction rate and low rate of return to preinjury level of play remain a challenge with elite overhead and throwing athletes. Recent anatomic studies suggest that current surgical techniques over-tension the biceps anchor and the superior labrum. These studies suggest that restoration of the normal anatomy will improve clinical outcomes and sports performance. We present a “double-pulley” technique for arthroscopic fixation of type II SLAP lesions. In this technique the normal anatomy is respected by preserving the mobility of the articular aspect of the superior labrum while reinforcing the biceps anchor and its posterior fibers medially. |
| first_indexed | 2024-12-16T11:11:30Z |
| format | Article |
| id | doaj.art-0afb73f0700c4609a2c797bf7ebf78ec |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-16T11:11:30Z |
| publishDate | 2015-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-0afb73f0700c4609a2c797bf7ebf78ec2022-12-21T22:33:43ZengElsevierArthroscopy Techniques2212-62872015-10-0145e545e550The Double-Pulley Anatomic Technique for Type II SLAP Lesion RepairNata Parnes, M.D.0Mario Ciani, D.C.1Brian Carr, M.D.2Paul Carey, M.D.3Tri County Orthopedic Center, Carthage, New York, U.S.A.Clarkson University, Potsdam, New York, U.S.A.Department of Orthopaedic Surgery, Guthrie Army Health Clinic, Fort Drum, New York, U.S.A.Department of Orthopaedic Surgery, Guthrie Army Health Clinic, Fort Drum, New York, U.S.A.; Address correspondence to Paul Carey, M.D., Department of Orthopaedic Surgery, Guthrie Army Health Clinic, 11050 Mt Belvedere Rd, Fort Drum, NY 13602-5004, U.S.A.The annual incidence and number of repairs of SLAP lesions in the United States are constantly increasing. Surgical repairs of type II SLAP lesions have overall good success rates. However, a low satisfaction rate and low rate of return to preinjury level of play remain a challenge with elite overhead and throwing athletes. Recent anatomic studies suggest that current surgical techniques over-tension the biceps anchor and the superior labrum. These studies suggest that restoration of the normal anatomy will improve clinical outcomes and sports performance. We present a “double-pulley” technique for arthroscopic fixation of type II SLAP lesions. In this technique the normal anatomy is respected by preserving the mobility of the articular aspect of the superior labrum while reinforcing the biceps anchor and its posterior fibers medially.http://www.sciencedirect.com/science/article/pii/S2212628715000742 |
| spellingShingle | Nata Parnes, M.D. Mario Ciani, D.C. Brian Carr, M.D. Paul Carey, M.D. The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair Arthroscopy Techniques |
| title | The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair |
| title_full | The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair |
| title_fullStr | The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair |
| title_full_unstemmed | The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair |
| title_short | The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair |
| title_sort | double pulley anatomic technique for type ii slap lesion repair |
| url | http://www.sciencedirect.com/science/article/pii/S2212628715000742 |
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