ArticleJSES open access2018
Current trends in the evaluation and treatment of SLAP lesions: analysis of a survey of specialist shoulder surgeons.
Article in JSES open access, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The majority of patients return to athletic activity following biceps tenodesis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Article
- Subtypes analysis and treatment strategies of Type V SLAP lesions.JSES reviews, reports, and techniques · 2025Article
- Establishing Clinical Significance for Patients Undergoing Arthroscopic Repair of Type II SLAP Lesions.Orthopaedic journal of sports medicine · 2024Article
- Inter-rater and intrarater reliability of superior labrum anterior to posterior lesion classification using magnetic resonance arthrography.JSES international · 2024Article
- Intraobserver and Interobserver Reliability of the Snyder and Expanded SLAP Classification System: A Video Study.Orthopaedic journal of sports medicine · 2023Article
- Primary Double-Pulley SLAP Repair in an Active-Duty Military Population With Type II SLAP Lesions Results in Improved Outcomes and Low Failure Rates at Minimum Six Years of Follow-up.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- The Fifty Most-Cited Articles Regarding SLAP Lesions.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Arthroscopic treatment of type II superior labral anterior to posterior (SLAP) lesions in a younger population: minimum 2-year outcomes are similar between SLAP repair and biceps tenodesis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Trends Related to the Treatment of Superior Labral Tears at a Single Institution.The archives of bone and joint surgery · 2021Article
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4 authors.
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Abstract
backgroundControversies exist in the classification and management of superior labral anterior and posterior (SLAP) lesions. Our aims were to assess the concordance rate of a group of specialist shoulder surgeons on the diagnosis of SLAP types and to assess the current trends in treatment preferences for different SLAP types.
methodsShoulder surgeons (N = 103) who are members of the Shoulder and Elbow Society of Australia were invited to participate in a multimedia survey on the classification and management of SLAP lesions. Response rate was 36%. The survey included 10 cases, each containing a short clinical vignette followed by an arthroscopic video depicting varying types of SLAP lesions. Surgeons were asked to classify the lesions and to recommend treatment.
resultsThere is low interobserver agreement in classifying SLAP lesions. The most common misdiagnosis of type I lesion was as a type II, and vice versa. Surgeons preferred to treat type II SLAP lesions in younger patients (<35 years) with labral repair and in older patients with biceps tenodesis. The most commonly preferred repair technique for type II lesion was with suture anchors placed both anterior and posterior to the biceps tendon. For all lesion types, biceps tenotomy was a far less commonly preferred procedure than biceps tenodesis.
conclusionThere is poor agreement between contemporary surgeons in the classification and treatment of SLAP lesions. The age of the patient appears to play a significant factor in the surgeons' deciding to treat a SLAP lesion with repair vs. biceps tenodesis.
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