Arthroscopic Posterior Labral Repair in Athletes: Outcome Analysis at 2-Year Follow-up

Pennington, William T.; Sytsma, Mark A.; Gibbons, David J.; Bartz, Brian A.; Dodd, Maggie; Daun, James; Klinger, Jonathan

doi:10.1016/j.arthro.2010.01.006

Cited by 43 publications

(49 citation statements)

References 28 publications

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“…abstract bility. [2][3][4][5][6][9][10][11] Alternatively, acute traumatic events or atraumatic causes such as generalized ligamentous laxity and alterations of the bony shoulder architecture also may play a role in the development of posterior instability. [2][3][4][5][6]9,12,13 Several authors have reported favorable results with arthroscopic management of posterior labral pathology, with or without instability.…”

mentioning

confidence: 99%

“…[2][3][4][5][6][9][10][11] Alternatively, acute traumatic events or atraumatic causes such as generalized ligamentous laxity and alterations of the bony shoulder architecture also may play a role in the development of posterior instability. [2][3][4][5][6]9,12,13 Several authors have reported favorable results with arthroscopic management of posterior labral pathology, with or without instability. 4,[7][8][9]11,[14][15][16][17][18][19][20][21][22][23] However, these investigations focus mainly on athletes younger than 30 years who have either repetitive microtrauma or traumatic posterior instability.…”

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confidence: 99%

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Outcomes Following Arthroscopic Repair of Posterior Labral Tears in Patients Older Than 35 Years

Bateman¹,

Black²,

Lazarus³

et al. 2017

Orthopedics

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Although the results of arthroscopic management of posterior labral pathology in young athletes have been reported extensively in the literature, the clinical outcomes in older patients are unknown. This retrospective review included patients older than 35 years who underwent arthroscopic posterior labral repair. Functional outcome scores were collected, and subgroup analyses were performed to evaluate the impact of patient-specific factors. Forty-three patients met the inclusion criteria; average follow-up was 36.9 months (range, 24-54 months). Mean patient age at the time of surgery was 40.9 years (range, 35-57 years). Average outcome scores at final follow-up were Quick Disabilities of the Arm, Shoulder and Hand Scale (QuickDASH), 19±22; Simple Shoulder Test (SST), 9.9±3; Western Ontario Shoulder Instability Index (WOSI), 601±546; and Single Assessment Numeric Evaluation (SANE), 79.6%±23.4%. No significant differences in outcomes were observed in patients with preoperative symptomatic instability, active workers' compensation claims, or traumatic injury (P>.05). The presence of intraoperatively definable chondral damage (Outerbridge grade III or higher) was associated with significantly worse final functional outcomes (QuickDASH: 29 vs 11.9, P=.03; SST: 8.5 vs 10.9, P=.02; WOSI: 875 vs 407, P=.01; and SANE: 70.6% vs 86%, P=.05). One patient (2%) experienced a minor postoperative complication, and 3 patients (7%) required subsequent procedures: 2 total shoulder arthroplasties and 1 revision labral repair. The results of arthroscopic posterior labral repair in patients older than 35 years were variable and worse than those previously reported in younger patients. The presence of chondral damage at the time of the index procedure was a negative predictive factor. [Orthopedics. 2017; 40(2):e305-e311.].

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confidence: 99%

mentioning

confidence: 99%

Outcomes Following Arthroscopic Repair of Posterior Labral Tears in Patients Older Than 35 Years

Bateman¹,

Black²,

Lazarus³

et al. 2017

Orthopedics

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show abstract

“…[8][9][10] More recently, arthroscopic techniques have shown good results. [1][2][3][4][5][6][7] Although most surgeons are comfortable with anterior labral repair, arthroscopic procedures about the posterior glenoid and capsule can be more difficult because of their relative infrequency.…”

Section: Discussionmentioning

confidence: 99%

“…Although these portals should be used in those cases that require improved access to the posterior and inferior glenoid, their use can be avoided with an appropriately placed lateralized posterior portal. 6,7 However, if the portal does not give appropriate access for anchor placement, the surgeon should be comfortable with the previously reviewed accessory portals. Video 1 shows a technique that uses 2 working portalsd1 anterior mid-glenoid portal and 1 lateralized posterior portaldwith arthroscopic viewing from the anterosuperior portal.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Still other reports describe a surgical technique for addressing posterior labral pathology with a lateralized posterior portal that is used initially for viewing but is also in the correct location for anchor placement and capsular repair. 6,7 The purpose of this article is to present a posterior labral repair with the use of a lateralized posterior portal.…”

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Arthroscopic Posterior Labral Repair and Capsular Shift With a Lateralized Posterior Portal

Ciccone¹

2013

Arthroscopy Techniques

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Arthroscopic techniques for posterior shoulder subluxation with labral injuries in athletes have shown good results. The difficulty with the procedure is gaining appropriate access to the posteroinferior quadrant of the glenoid at a steep enough angle that allows for safe anchor placement. Various portals have been described that can be used as accessory portals for anchor placement. Although the use of additional portals to create appropriate access to the joint is always encouraged, preoperative planning can minimize the need for their use. The video shows a simple technique for posterior labral repair with capsular plications through a lateralized posterior portal in the lateral decubitus position. This technique allows the surgeon to address posterior labral tears and capsular laxity without the need for accessory portals.

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Posterior Shoulder Instability

Arciero¹,

Cordasco²,

Provencher³

2018

Shoulder and Elbow Injuries in Athletes

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Arthroscopic Posterior Labral Repair in Athletes: Outcome Analysis at 2-Year Follow-up

Cited by 43 publications

References 28 publications

Outcomes Following Arthroscopic Repair of Posterior Labral Tears in Patients Older Than 35 Years

Outcomes Following Arthroscopic Repair of Posterior Labral Tears in Patients Older Than 35 Years

Arthroscopic Posterior Labral Repair and Capsular Shift With a Lateralized Posterior Portal

Posterior Shoulder Instability

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