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  • Author: Edward G. McFarland x
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Filippo Familiari Department of Orthopaedic and Traumatology, Villa del Sole Clinic, Catanzaro, Italy

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Gazi Huri Department of Orthopaedic and Traumatology, Hacettepe University, Ankara, Turkey

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Roberto Simonetta Cure Ortopediche Traumatologiche Messina, Italy

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Edward G. McFarland Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA

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  • Knowledge of the pertinent anatomy, pathogenesis, clinical presentation and treatment of the spectrum of injuries involving the superior glenoid labrum and biceps origin is required in treating the patient with a superior labrum anterior and posterior (SLAP) tear.

  • Despite the plethora of literature regarding SLAP lesions, their clinical diagnosis remains challenging for a number of reasons.

  • First, the diagnostic value of many of the available physical examination tests is inconsistent and ambiguous.

  • Second, SLAP lesions most commonly occur concomitantly with other shoulder injuries.

  • Third, SLAP lesions have no specific associated pain pattern.

  • Outcomes following surgical treatment of SLAP tears vary depending on the method of treatment, associated pathology and patient characteristics.

  • Biceps tenodesis has been receiving increasing attention as a possible treatment for SLAP tears.

Cite this article: EFORT Open Rev 2019;4:25-32. DOI: 10.1302/2058-5241.4.180033.

Article Type:
Research Article
Category:
Shoulder & Elbow
DOI:
https://doi.org/10.1302/2058-5241.4.180033
Volume/Issue:
Volume 4: Issue 1
Open access
Filippo Familiari Department of Orthopaedics and Traumatology, Villa del Sole Clinic, Italy

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Jorge Rojas Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, USA

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Mahmut Nedim Doral Department of Orthopaedics and Traumatology, Hacettepe University, Turkey

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Gazi Huri Department of Orthopaedics and Traumatology, Hacettepe University, Turkey

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Edward G. McFarland Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, USA

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  • Since the introduction of reverse total shoulder arthroplasty (RTSA) in 1987 (in Europe) and 2004 (in the United States), the number of RTSAs performed annually has increased.

  • Although the main indication for RTSA has been rotator cuff tears, indications have expanded to include several shoulder conditions, many of which involve dysfunction of the rotator cuff.

  • RTSA complications have been reported to affect 19% to 68% of patients and include acromial fracture, haematoma, infection, instability, mechanical baseplate failure, neurological injury, periprosthetic fracture and scapular notching.

  • Current controversies in RTSA include optimal baseplate positioning, humeral neck-shaft angle (135° versus 155°), glenosphere placement (medial, lateral or bony increased offset RTSA) and subscapularis repair.

  • Improvements in prosthesis design, surgeon experience and clinical results will need to occur to optimize this treatment for many shoulder conditions.

Cite this article: EFORT Open Rev 2018;3:58–69 DOI: 10.1302/2058-5241.3.170044

Article Type:
Research Article
DOI:
https://doi.org/10.1302/2058-5241.3.170044
Volume/Issue:
Volume 3: Issue 2
Open access