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

  • Injuries in Overhead Athletes (J Dines and C Camp, section editors)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

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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Authors and Affiliations

  1. Hospital for Special Surgery, Department of Sports Medicine and Shoulder, 535 E 70th St, New York, NY, 10021, USA

    Jacob G. Calcei, Venkat Boddapati, David W. Altchek & Joshua S. Dines

  2. Mayo Clinic, Sports Medicine Center, Rochester, MN, 55902, USA

    Christopher L. Camp

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  1. Jacob G. Calcei
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Correspondence to Jacob G. Calcei.

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Joshua S. Dines reports personal fees from Arthrex, personal fees from Trice, grants from Arthrex, and personal fees and others from Conmed Linvatec, outside the submitted work. He is on the editorial board for the American Journal of Orthopedics and the Journal of Shoulder and Elbow Surgery.

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This article is part of the Topical Collection on Injuries in Overhead Athletes

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Calcei, J.G., Boddapati, V., Altchek, D.W. et al. Diagnosis and Treatment of Injuries to the Biceps and Superior Labral Complex in Overhead Athletes. Curr Rev Musculoskelet Med 11, 63–71 (2018). https://doi.org/10.1007/s12178-018-9460-9

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