biceps

SLAP tear

Superior labrum anterior & posterior

Injury to superior part of glenoid labrum involving region of biceps tendon insertion

2 groups

1. Young patients

- most common in young males

- fall / trauma

LHB primary function is humeral head depressor

Also accelerate / decelerate arm in overhead sports

Biceps problems usually occur with other pathology

- rotator cuff / instability

3 main problems

1. Degeneration

1. Open antero-lateral approach

Large / Massive Cuff Tear

2. Deltopectoral approach

Large Subscapularis tear

3. Arthroscopic Assisted Mini-open

Indication

- Small / Moderate Cuff Tear < 3cm

- no retraction

Technique

- arthroscopic SAD