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Parnes N, Ciani M, Carr B, et al. The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair. Arthrosc Tech. 2015;4(5):e545-50doi: 10.1016/j.eats.2015.05.009.
Parnes, N., Ciani, M., Carr, B., & Carey, P. (2015). The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair. Arthroscopy techniques, 4(5), e545-50. https://doi.org/10.1016/j.eats.2015.05.009
Parnes, Nata, et al. "The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair." Arthroscopy techniques vol. 4,5 (2015): e545-50. doi: https://doi.org/10.1016/j.eats.2015.05.009
Parnes N, Ciani M, Carr B, Carey P. The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair. Arthrosc Tech. 2015 Oct 12;4(5):e545-50. doi: 10.1016/j.eats.2015.05.009. eCollection 2015 Oct. PMID: 26900552; PMCID: PMC4722167.
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Arthrosc Tech. 2015 Oct 12;4(5):e545-50. doi: 10.1016/j.eats.2015.05.009. eCollection 2015 Oct.

The Double-Pulley Anatomic Technique for Type II SLAP Lesion Repair.

Arthroscopy techniques

Nata Parnes, Mario Ciani, Brian Carr, Paul Carey

Affiliations

  1. Tri County Orthopedic Center, Carthage, New York, U.S.A.
  2. Clarkson University, Potsdam, New York, U.S.A.
  3. Department of Orthopaedic Surgery, Guthrie Army Health Clinic, Fort Drum, New York, U.S.A.

PMID: 26900552 PMCID: PMC4722167 DOI: 10.1016/j.eats.2015.05.009

Abstract

The annual incidence and number of repairs of SLAP lesions in the United States are constantly increasing. Surgical repairs of type II SLAP lesions have overall good success rates. However, a low satisfaction rate and low rate of return to preinjury level of play remain a challenge with elite overhead and throwing athletes. Recent anatomic studies suggest that current surgical techniques over-tension the biceps anchor and the superior labrum. These studies suggest that restoration of the normal anatomy will improve clinical outcomes and sports performance. We present a "double-pulley" technique for arthroscopic fixation of type II SLAP lesions. In this technique the normal anatomy is respected by preserving the mobility of the articular aspect of the superior labrum while reinforcing the biceps anchor and its posterior fibers medially.

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