The Outcome of Type II SLAP Repair: A Systematic Review

Published:January 25, 2010DOI:


      The purpose of this study was to systematically review the literature regarding the outcome of arthroscopic repair of type II SLAP lesions in order to assess the effectiveness of current methods of treatment.


      We performed a systematic review of the results of repair of type II SLAP lesions. Inclusion criteria included outcome studies of repair of type II SLAP lesions with minimum 2-year follow-up and Level IV evidence or higher published in the English language in peer-reviewed journals.


      There is no Level I or II evidence for SLAP repair outcome. Regarding the general outcome after type II SLAP repair, the percentage of good and excellent results ranged from 40% to 94%. Return to previous level of play ranged from 20% to 94%. Overhead athletes are the most challenging to return to the previous level of performance for this diagnosis, and their return rate reflects this. Five studies reported these results, and the rate of return ranged from 22% to 64% for baseball players.


      Arthroscopic repair of type II SLAP tears results in overall excellent results for individuals not involved in throwing or overhead sports. The results of type II SLAP repair in throwing or overhead athletes are much less predictable. Future studies should be prospective in nature and at least use a longitudinal prospective cohort design to determine predictors of outcome.

      Level of Evidence

      Level IV, systematic review of Level III and IV studies.
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        • Andrews J.R.
        • Carson Jr, W.G.
        • McLeod W.D.
        Glenoid labrum tears related to the long head of the biceps.
        Am J Sports Med. 1985; 13: 337-341
        • Snyder S.J.
        • Karzel R.P.
        • Del Pizzo W.
        • Ferkel R.D.
        • Friedman M.J.
        SLAP lesions of the shoulder.
        Arthroscopy. 1990; 6: 274-279
        • Snyder S.J.
        • Banas M.P.
        • Karzel R.P.
        An analysis of 140 injuries to the superior glenoid labrum.
        J Shoulder Elbow Surg. 1995; 4: 243-248
        • Altchek D.W.
        • Warren R.F.
        • Wickiewicz T.L.
        • Ortiz G.
        Arthroscopic labral debridement.
        Am J Sports Med. 1992; 20: 702-706
        • Cordasco F.A.
        • Steinmann S.
        • Flatow E.L.
        • Bigliani L.U.
        Arthroscopic treatment of glenoid labral tears.
        Am J Sports Med. 1993; 21 (discussion 430-431): 425-430
        • Dessaur W.A.
        • Magarey M.E.
        Diagnostic accuracy of clinical tests for superior labral anterior posterior lesions: A systematic review.
        J Orthop Sports Phys Ther. 2008; 38: 341-352
        • Jones G.L.
        • Galluch D.B.
        Clinical assessment of superior glenoid labral lesions: A systematic review.
        Clin Orthop Relat Res. 2007; 455: 45-51
        • Hegedus E.J.
        • Goode A.
        • Campbell S.
        • et al.
        Physical examination tests of the shoulder: A systematic review with meta-analysis of individual tests.
        Br J Sports Med. 2008; 42 (discussion 92): 80-92
        • Yoneda M.
        • Hirooka A.
        • Saito S.
        • Yamamoto T.
        • Ochi T.
        • Shino K.
        Arthroscopic stapling for detached superior glenoid labrum.
        J Bone Joint Surg Br. 1991; 73: 746-750
        • Tibone J.E.
        • Jobe F.W.
        • Kerlan R.K.
        • et al.
        Shoulder impingement syndrome in athletes treated by an anterior acromioplasty.
        Clin Orthop Relat Res. 1985; 134: 140
        • Samani J.E.
        • Marston S.B.
        • Buss D.D.
        Arthroscopic stabilization of type II SLAP lesions using an absorbable tack.
        Arthroscopy. 2001; 17: 19-24
        • Ellman H.
        • Hanker G.
        • Bayer M.
        Repair of the rotator cuff.
        J Bone Joint Surg Am. 1986; 68: 1136-1144
        • Richards R.R.
        • An K.N.
        • Bigliani L.U.
        • et al.
        A standardized method for the assessment of shoulder function.
        J Shoulder Elbow Surg. 1994; 3: 347-352
        • O'Brien S.J.
        • Allen A.A.
        • Coleman S.H.
        • Drakos M.C.
        The trans-rotator cuff approach to SLAP lesions: Technical aspects for repair and a clinical follow-up of 31 patients at a minimum of 2 years.
        Arthroscopy. 2002; 18: 372-377
        • L'Insalata J.C.
        • Warren R.F.
        • Cohen S.B.
        • Altchek D.W.
        • Peterson M.G.
        A self-administered questionnaire for assessment of symptoms and function of the shoulder.
        J Bone Joint Surg Am. 1997; 79: 738-748
        • Kim S.H.
        • Ha K.I.
        • Kim S.H.
        • Choi H.J.
        Results of arthroscopic treatment of superior labral lesions.
        J Bone Joint Surg Am. 2002; 84: 981-985
        • Ide J.
        • Maeda S.
        • Takagi K.
        Sports activity after arthroscopic superior labral repair using suture anchors in overhead-throwing athletes.
        Am J Sports Med. 2005; 33: 507-514
        • Rowe C.R.
        • Patel D.
        • Southmayd W.W.
        The Bankart procedure: A long-term end-result study.
        J Bone Joint Surg Am. 1978; 60: 1-16
        • Cohen D.B.
        • Coleman S.
        • Drakos M.C.
        • et al.
        Outcomes of isolated type II SLAP lesions treated with arthroscopic fixation using a bioabsorbable tack.
        Arthroscopy. 2006; 22: 136-142
        • Coleman S.H.
        • Cohen D.B.
        • Drakos M.C.
        • et al.
        Arthroscopic repair of type II superior labral anterior posterior lesions with and without acromioplasty: A clinical analysis of 50 patients.
        Am J Sports Med. 2007; 35: 749-753
        • Enad J.G.
        • Gaines R.J.
        • White S.M.
        • Kurtz C.A.
        Arthroscopic superior labrum anterior-posterior repair in military patients.
        J Shoulder Elbow Surg. 2007; 16: 300-305
        • Enad J.G.
        • Kurtz C.A.
        Isolated and combined Type II SLAP repairs in a military population.
        Knee Surg Sports Traumatol Arthrosc. 2007; 15: 1382-1389
        • Yung P.S.
        • Fong D.T.
        • Kong M.F.
        • et al.
        Arthroscopic repair of isolated type II superior labrum anterior-posterior lesion.
        Knee Surg Sports Traumatol Arthrosc. 2008; 16: 1151-1157
        • Boileau P.
        • Parratte S.
        • Chuinard C.
        • Roussanne Y.
        • Shia D.
        • Bicknell R.
        Arthroscopic treatment of isolated type II SLAP lesions: Biceps tenodesis as an alternative to reinsertion.
        Am J Sports Med. 2009; 37: 929-936
        • Brockmeier S.F.
        • Voos J.E.
        • Williams III, R.J.
        • Altchek D.W.
        • Cordasco F.A.
        • Allen A.A.
        Outcomes after arthroscopic repair of type-II SLAP lesions.
        J Bone Joint Surg Am. 2009; 91: 1595-1603