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Chirurgie de la main, v.25 suppl.1, 2006년, pp.S70 - S74
Pujol, N. (Service de ) , Hardy, P. (chirurgie orthopé)
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AbstractThe advent of shoulder arthroscopy, as well as our improved understanding of shoulder anatomy and biomechanics, has led to the identification of previously undiagnosed lesions involving the superior labrum and biceps tendon anchor. Although the history and physical examinations as well as im...
RésuméL'avènement de l'arthroscopie de l'épaule, ainsi que la meilleure compréhension de l'anatomie et de la biomécanique de l'épaule ont permis l'identification de lésions auparavant méconnues impliquant le labrum supérieur et l'insertion bicipitale. L'anamnèse parfois évocatrice, un examen physique bien conduit avec un testing complet, l'imagerie moderne (arthro-IRM, arthro-TDM) donnent souvent des arguments incomplets pour le diagnostic des SLAP lésions (superior labrum anterior to posterior). Les lésions associées sont fréquentes. Le diagnostic définitif et la caractérisation du type de lésion ne seront faits que lors de l'exploration arthroscopique. Le traitement de ces lésions dépend du type de SLAP. Généralement, l'abstention sera préconisée dans le type I, les lésions de type III seront simplement débridées, tandis que les types II et la plupart des types IV seront réparés. Le but de cet article est de passer en revue l'anatomie, la classification, le diagnostic et les recommandations actuelles des traitements des SLAP lésions.
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