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Current Reviews in Musculoskeletal Medicine
Erschienen in: Current Reviews in Musculoskeletal Medicine 2/2019

08.03.2019 | Injuries in Overhead Athletes (J Dines and C Camp, Section Editors)

Injuries of the Biceps and Superior Labral Complex in Overhead Athletes

verfasst von: Kyle W. Morse, Jonathan-James Eno, David W. Altchek, Joshua S. Dines

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 2/2019

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Abstract

Purpose of Review

To summarize the current anatomy, biomechanics, presentation, treatment, and outcomes of injuries to the biceps and superior labral complex in overhead athletes.

Recent Findings

The biceps and superior labral complex is composed of anatomically distinct zones. The inability to accurately diagnose biceps lesions contributes to continued morbidity especially as arthroscopy and advanced imaging fail to fully evaluate the entire course of the biceps tendon. Superior labrum anterior and posterior (SLAP) repair, long head of biceps tenodesis, and tenotomy are the most common operative techniques for surgical treatment of biceps-labral complex (BLC) pathology. Labral repair in overhead athletes has resulted in mixed outcomes for athletes and is best indicated for patients under age 40 years old.

Summary

Injuries to the BLC are potentially challenging injuries to diagnose and treat, particularly in the overhead athlete. SLAP repair remains the treatment of choice for high-level overhead athletes and patients younger than 40 years of age, while biceps tenodesis and tenotomy are preferred for older patients.
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Metadaten
Titel
Injuries of the Biceps and Superior Labral Complex in Overhead Athletes
verfasst von
Kyle W. Morse
Jonathan-James Eno
David W. Altchek
Joshua S. Dines
Publikationsdatum
08.03.2019
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 2/2019
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-019-09539-5

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