Postoperative Restoration of Upper Extremity Motion and Neuromuscular Control During the Overhand Pitch
Superior Labral Anterior-Posterior (SLAP) Tears
Superior labral anterior-posterior (SLAP) tears are found in 6% to 26% of shoulder arthroscopic procedures, and the rising incidence of repair has far outpaced the rising incidence of shoulder arthroscopic surgery. Overhead throwing is a common causative factor associated with SLAP tears. Pitching is one of the fastest human motions, with arm internal rotation velocities exceeding 7000 deg/s in professional pitchers. These speeds place enormous forces and torques upon the shoulder, with forces regularly exceeding 1000 N in professional pitchers. These forces and the compensatory structural, neuromuscular, and pro-prioceptive changes that pitchers undergo to be able to produce these forces have been implicated in the pathogenesis of SLAP tears.
Labral Repair vs Biceps Tenodesis for SLAP Tear Treatment
There is considerable debate about the optimal treatment between debridement, repair, and tenodesis. This study hypothesized that labral repair more closely restores neuromuscular control and motion during the overhand pitch than tenodesis of the long head of the biceps.