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Controversies exist in the classification and management of superior labral anterior and posterior (SLAP) lesions. Our aims were to assess the concordance rate of a group of specialist shoulder surgeons on the diagnosis of SLAP types and to assess the current trends in treatment preferences for different SLAP types.Shoulder surgeons (N = 103) who are members of the Shoulder and Elbow Society of Australia were invited to participate in a multimedia survey on the classification and management of SLAP lesions. Response rate was 36%. The survey included 10 cases, each containing a short clinical vignette followed by an arthroscopic video depicting varying types of SLAP lesions. Surgeons were asked to classify the lesions and to recommend treatment.There is low interobserver agreement in classifying SLAP lesions. The most common misdiagnosis of type I lesion was as a type II, and vice versa. Surgeons preferred to treat type II SLAP lesions in younger patients (35 years) with labral repair and in older patients with biceps tenodesis. The most commonly preferred repair technique for type II lesion was with suture anchors placed both anterior and posterior to the biceps tendon. For all lesion types, biceps tenotomy was a far less commonly preferred procedure than biceps tenodesis.There is poor agreement between contemporary surgeons in the classification and treatment of SLAP lesions. The age of the patient appears to play a significant factor in the surgeons' deciding to treat a SLAP lesion with repair vs. biceps tenodesis.

The lateral collateral ligament (LCL) complex of the elbow plays a crucial role in the stability of the elbow joint, especially to varus loads. Deficiency of particularly the lateral ulnar collateral component of the LCL can lead to chronic posterolateral rotatory instability, which can be functionally debilitating and can lead to a rapid onset of early degenerative arthritis. Commonly, in the setting of acute rupture of the LCL, the ligament is repaired using an open technique with suture anchor fixation to the lateral epicondyle insertion point. However, with advancing arthroscopic techniques, it has become possible to repair the LCL arthroscopically. We present a relatively simple method for an all-arthroscopic repair of the LCL to the humerus using a knotless suture anchor technique.

The Outerbridge-Kashiwagi procedure, or ulnohumeral arthroplasty, was described in 1978 as a method of treating elbow arthritis by creating a fenestration in the olecranon fossa. This fenestration diminishes the likelihood of recurrent spurs in the olecranon fossa and coronoid fossa, without loss of structural bony strength. Arthroscopic techniques have now been developed to perform this procedure. We describe an efficient method of creating the fenestration between the olecranon fossa and coronoid fossa during an arthroscopic ulnohumeral arthroplasty, or Outerbridge-Kashiwagi procedure, that also reduces the amount of residual bone debris produced during the resection.