Abstract
Lesions of the superior labrum can be a source of significant shoulder pain and disability.
SLAP (superior labrum anterior-posterior) tears have been classified into many different
types. A type IV SLAP tear is a bucket-handle tear of the superior labrum with extension
into the biceps tendon. This relatively uncommon SLAP tear, if present, has been shown
to be frequently associated with other pathology including Bankart lesions. We present
an arthroscopic technique for combined repair of a type IV SLAP tear and Bankart lesion.
Steps include initial reduction of the bucket-handle portion of the superior labral
injury, repair of the anterior-inferior labral detachment, and, finally, repair of
the superior labrum and biceps tendon split.
Key Words
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Article info
Footnotes
A.A.R. is a consultant for Arthrex.
Identification
Copyright
© 2009 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
