{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:03:37Z","timestamp":1773569017028,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,5,1]],"date-time":"2011-05-01T00:00:00Z","timestamp":1304208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2011,5,1]],"date-time":"2011-05-01T00:00:00Z","timestamp":1304208000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate the prevalence of SLAP and biceps reflection pulley lesions. The hypothesis was that these lesions do not occur concomitantly and they have a different etiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We prospectively analyzed 3,395 shoulder arthroscopies that were independently performed by 2 surgeons between 2004 and 2008 regarding the prevalence of SLAP and biceps pulley lesions. Intraoperative findings were correlated with patient history and clinical examination. Exclusion criteria were type I SLAP lesions, full\u2010thickness rotator cuff tears, and a history of shoulder dislocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study included 182 patients with SLAP lesions (prevalence, 5.4%; 138 men; mean age, 47 years) and 87 patients with pulley lesions (prevalence, 2.6%; 63 men; mean age, 49 years). Isolated SLAP lesions were present in 157 cases, and isolated pulley lesions in 62 cases. The concomitant presence of a SLAP lesion and pulley lesion was significantly rare (10%,\n                      <jats:italic>P<\/jats:italic>\n                      = .003). In 55 (35%; 42 men [76%]; mean age, 43 years) of the cases with isolated SLAP lesions and 40 (65%; 27 men [68%]; mean age, 49 years) with isolated pulley lesions, there was a significant association with history of trauma (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). Most SLAP lesions (32 [58%],\n                      <jats:italic>P<\/jats:italic>\n                      = .174 [not significant]) and most pulley lesions (28 [70%],\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01) resulted from falling on the outstretched arm with external arm rotation in SLAP lesions and internal rotation in pulley lesions (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The concomitant presence of biceps tendon\u2013associated lesions in the form of SLAP and pulley lesions is significantly rare. A history of falling on the abducted and externally rotated arm was typical in patients with SLAP lesions, whereas a fall on the arm with internal rotation was often noted in patients with pulley lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2011.01.005","type":"journal-article","created":{"date-parts":[[2011,4,19]],"date-time":"2011-04-19T17:29:41Z","timestamp":1303234181000},"page":"611-618","source":"Crossref","is-referenced-by-count":20,"title":["Is There an Association Between SLAP Lesions and Biceps Pulley Lesions?"],"prefix":"10.1002","volume":"27","author":[{"given":"Thilo","family":"Patzer","sequence":"first","affiliation":[{"name":"Department of Shoulder and Elbow Surgery ATOS Clinic Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rn","family":"Kircher","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Elbow Surgery ATOS Clinic Heidelberg Germany"},{"name":"Department of Orthopaedic Surgery University Hospital of D\u00fcsseldorf D\u00fcsseldorf Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Lichtenberg","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Elbow Surgery ATOS Clinic Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Sauter","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Elbow Surgery ATOS Clinic Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petra","family":"Magosch","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Elbow Surgery ATOS Clinic Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Habermeyer","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Elbow Surgery ATOS Clinic Heidelberg 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