Click here to access this Full-length streaming video

Stephen L. Snyder, M.D.

The shoulder distinctive range of motion is constrained by the articular capsule and the external ligaments of the glenohumeral joint. Internally, the long head of the biceps tendon passes within the capsule and inserts on the superior lip of the glenoid labrum. Injury involving this tendon can tear the superior glenoid labrum, producing a superior labrum anterior to posterior (SLAP) injury.

The arthroscopic technique performed in this segment by Stephen L. Snyder of Van Nuys, California, is a useful method to manage extensive superior labral detachment in selected patients. It involves an anterior-superior portal to access the superior labral detachment, a midglenoid portal just above the subscapularis tendon and an accessory percutaneous portal just off the posterolateral portal of the acromion. Reattachment is accomplished with the use of two suture anchors and strong, long-lasting braided sutures.

Patients can realize good to excellent results with return to all activities within three to four months.

References
1. Stetson WB, Snyder SL, Karzel RP, Banas MP Long-term clinical follow-up of isolated SLAP lesions of the shoulder Archives of the AAOS 1997;1(1):Selected Scientific Exhibits
2. Berg EE, Ciullo JV The SLAP lesion: a cause of failure after distal clavicle resection Arthroscopy 1997;13(1):85-89
3. LaBan MM, Gurin TL, Maltese JT Slip of the lip -- tears of the superior glenoid labrum-anterior to posterior (SLAP) syndrome. A report of four cases Am J Phys Med Rehab 1995;74(6):448-452

• Total Run Time: 13:15 minutes
• Catalog Number: 7038
• Publication Date: December 1997

• DVD/iPod: $95.00
• VHS (NTSC): $95.00
• VHS (PAL): $95.00
• Online Streaming Video: $35.00 (click here for system requirements)