Right Arthroscopic Repair of Type IV SLAP Tear with a Knotless Anchor
This exhibit depicts the arthroscopic repair of a type IV SLAP tear of the labrum. The glenoid labrum is a fibrocartilaginous rim of tissue that provides stability to the shoulder socket and serves as the insertion site for the long head of the biceps brachii. There are four classifications of labral injuries known as SLAP tears (SLAP I-IV). SLAP is an acronym representing “Superior Labral tear from Anterior to Posterior.” A SLAP IV tear is a bucket-handle tear of the superior labrum, with extension of the tear into the biceps tendon.
An arthroscopy is performed and the labrum is shaved to a stable edge. A hole is drilled in the superior neck of the glenoid and a suture is passed through the labrum. The suture tails are secured around the labrum with a cinch stitch and passed through the eyelet of a knotless suture anchor. The anchor and suture tails are then impacted into the superior glenoid, repairing the labrum.