Abstract: Superior labrum anterior-posterior (SLAP) lesions are common in overhead athletes. Though some patients have asymptomatic lesions, many tears cause pain and diminished athletic performance. Accurate diagnosis of SLAP lesions can be challenging as the sensitivity and specificity of both the physical exam and advanced imaging is questionable. Management is also difficult, as treatment can be life-altering or career-ending for many athletes. If first-line nonoperative treatment fails, surgical options may be considered. The optimal surgical management of SLAP lesions in athletes is debated. Historically, return to play (RTP) rates among athletes who have undergone arthroscopic SLAP repair have been unsatisfactory, prompting clinicians to seek alternate surgical options. Biceps tenodesis (BT) has been postulated to eliminate biceps tendon-related pain in the shoulder and is increasingly used as a primary procedure for SLAP lesions. The purpose of this text is to review the current literature on the surgical management of SLAP lesions in athletes with an emphasis on the role of BT.

Keywords: SLAP tear, SLAP lesion, superior labrum anterior-posterior, biceps-labral complex, throwing athlete, overhead athlete

中文翻译：

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运动员上唇上泪的外科治疗：集中于肱二头肌腱

摘要：上唇前-后（SLAP）病变在高架运动员中很常见。尽管有些患者无症状，但许多眼泪会引起疼痛并降低运动表现。SLAP病变的准确诊断可能具有挑战性，因为体格检查和高级成像的敏感性和特异性都令人质疑。管理也很困难，因为对于许多运动员而言，治疗可能会改变生活或结束职业。如果一线非手术治疗失败，则可以考虑手术选择。对运动员中SLAP病变的最佳外科治疗方法存在争议。从历史上看，接受关节镜SLAP修复的运动员的重返比赛（RTP）率并不令人满意，这促使临床医生寻求其他手术选择。假定肱二头肌腱固定术（BT）可以消除肩膀上与肱二头肌腱相关的疼痛，并且越来越多地用作SLAP病变的主要治疗方法。本文的目的是回顾有关运动员SLAP病变的外科治疗的最新文献，重点是BT的作用。

关键词： SLAP撕裂，SLAP病变，上唇前后，二头肌-唇肌复合体，投掷运动员，头顶上运动员