{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T19:09:15Z","timestamp":1773601755329,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,18]],"date-time":"2013-01-18T00:00:00Z","timestamp":1358467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this study was to meticulously observe the structures around the origin of the long head of the biceps tendon (LHB) in order to propose a method of anatomical superior labrum anterior and posterior repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010eight shoulders of 16 cadavers with intact LHB origin were macroscopically investigated. Among them, 20 shoulders with an intact superior labrum were additionally observed, to determine whether the anterior edge of LHB on the labrum (point \u2018A\u2019) was anterior to the supraglenoid tubercle. Serial sections vertical to LHB were observed using ordinary light and polarized microscopy in three glenoids and scanning acoustic microscopy in one.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The labrum had a meniscal appearance, and no LHB fibre was sent anterior to the anterior edge of the supraglenoid tubercle. \u2018A\u2019 was not located more posterior than the supraglenoid tubercle. All specimens had the so\u2010called \u2018the sheet\u2010like structure\u2019, in which the portion closer to the LHB origin tends to be stiffer. Fibres of the sheet\u2010like structure ran vertically to LHB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Fibre orientation and the stiffness of the sheet\u2010like structure suggest its support of LHB. As LHB fibres do not anteriorly cross over \u2018A\u2019, \u2018A\u2019 could be a landmark for the anterior border of LHB, independent from the sheet\u2010like structure. Considering a previous report mentioning that the horizontal mattress suture maintains the meniscus\u2010like structure which might be sufficient for proper motion of the normal superior labrum, the horizontal mattress suture not crossing over \u2018A\u2019 should be recommended from the viewpoint of functional anatomy.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-013-2385-3","type":"journal-article","created":{"date-parts":[[2013,1,17]],"date-time":"2013-01-17T05:38:18Z","timestamp":1358401098000},"page":"435-441","source":"Crossref","is-referenced-by-count":13,"title":["Anatomical study for SLAP lesion repair"],"prefix":"10.1002","volume":"22","author":[{"given":"Ryuzo","family":"Arai","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine Graduate School of Medicine Kyoto University 54, Kawahara\u2010cho, Shogoin, Sakyo\u2010ku Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiko","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Kyoto Shimogamo Hospital 17, Higashimorigasaki\u2010cho, Shimogamo, Sakyo\u2010ku Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideto","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine Graduate School of Medicine Kyoto University 54, Kawahara\u2010cho, Shogoin, Sakyo\u2010ku Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Tsukiyama","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine Graduate School of Medicine Kyoto University 54, Kawahara\u2010cho, Shogoin, Sakyo\u2010ku Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiko","family":"Saji","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine Graduate School of Medicine Kyoto University 54, Kawahara\u2010cho, Shogoin, Sakyo\u2010ku Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinobu","family":"Toda","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory Science Tenri Health Care University 80\u20101, Bessho\u2010cho Tenri Nara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiro","family":"Hagiwara","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tohoku University School of Medicine 1\u20101 Seiryo\u2010machi, Aoba\u2010ku Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Miura","sequence":"additional","affiliation":[{"name":"Anatomy and Developmental Biology Graduate School of Medicine Kyoto University Konoe\u2010cho, Yoshida, Sakyo\u2010ku Kyoto 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