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Calibre 50 tyler tx3/16/2023 The most frequent SLAP type II needs a sophisticated approach when surgical teatment comes into consideration. In addition, normal variants such as sublabral recess, sublabral hole, Buford complex and other less common variants have to be distinguished. Concomitant pathologies as Bankart lesions, rotator cuff tears or perilabral cysts should be taken into consideration when planning a personalized therapeutic strategy. Clinical examination often remains unspecific whereas soft tissue imaging such as direct or indirect magnetic resonance arthrography has technically improved and is regarded to be indispensable in detection of SLAP lesions. Overhead athletes tend to develop a glenohumeral internal rotation deficit which forms the basis for two controversial discussed potential mechanisms of pathophysiology in SLAP lesions: Internal impingement and peel-back mechanism. Concerning the causative mechanism of SLAP lesions, acute trauma has to be differed from chronic degeneration. The rising comprehension of pathology and pathophysiology in SLAP lesions contributed to increase the types in SLAP classification to ten. The first classification of SLAP lesions was described in 1990, a subdivision in four types existed. Surgical treatment of superior labral anterior posterior (SLAP) lesion becomes more and more frequent which is the consequence of evolving progress in both, imaging and surgical technique as well as implants.
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