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Current Reviews in Musculoskeletal Medicine

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01-03-2018 | Injuries in Overhead Athletes (J Dines and C Camp, section editors)

Diagnosis and Treatment of Injuries to the Biceps and Superior Labral Complex in Overhead Athletes

Authors: Jacob G. Calcei, Venkat Boddapati, David W. Altchek, Christopher L. Camp, Joshua S. Dines

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2018

Abstract

Purpose of Review

This review discusses the diagnostic and treatment challenges presented by injuries to the biceps and superior labral complex.

Recent Findings

A focused patient history, numerous physical examination maneuvers, and appropriate advanced imaging studies must be utilized to reach an accurate diagnosis. Nonoperative management, even in overhead athletes, has demonstrated relatively good outcomes, while operative outcomes have yielded mixed results. The surgeon must take into account a number of variables when choosing the appropriate surgical procedure: labral repair versus biceps tenodesis. Rehabilitation, either as nonoperative management or as a postoperative protocol, should focus on restoring glenohumeral and scapulothoracic strength, endurance, and full, pain-free range of motion, while correcting any deficiencies in balance or rhythm throughout the overhead motion.

Summary

Despite the operative treatment challenges that SLAP tears present, with new techniques and proper patient selection, overhead athletes with injuries to the biceps and superior labrum complex can return to sport at a high level.

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Title: Diagnosis and Treatment of Injuries to the Biceps and Superior Labral Complex in Overhead Athletes
Authors: Jacob G. Calcei
Venkat Boddapati
David W. Altchek
Christopher L. Camp
Joshua S. Dines
Publication date: 01-03-2018
Publisher: Springer US
Published in: Current Reviews in Musculoskeletal Medicine / Issue 1/2018
Electronic ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-018-9460-9

At a glance: The STEP trials

Springer Medicine

Diagnosis and Treatment of Injuries to the Biceps and Superior Labral Complex in Overhead Athletes

Abstract

Purpose of Review

Recent Findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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