Arthroscopic stabilization of type II SLAP lesions using an absorbable tack

Samani, J.; Marston, Scott B.; Buss, Daniel D.

doi:10.1053/jars.2001.19652

Cited by 126 publications

(95 citation statements)

References 28 publications

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“…The main outcomes studied have included patient satisfaction as measured by multiple validated scales (including UCLA [10], American Shoulder and Elbow Society [ASES] [27], and L'Insalata [19] scores), which ranges from 40% to 94% ''good-to-excellent'' results [5,7], and ability to return to sport at a similar level of competition, which ranges from 22% to 92% [7,17]. Although early studies showed patient satisfaction of greater than 90% in all athletes [29], overhead throwing athletes appeared to have less satisfaction after SLAP repair. Overhead or throwing sports include baseball, tennis, handball, badminton, softball, swimming, volleyball, and squash.…”

Section: Introductionmentioning

confidence: 99%

Return to Play After Type II Superior Labral Anterior-Posterior Lesion Repairs in Athletes: A Systematic Review

Sayde

Cohen

Ciccotti

et al. 2012

Clinical Orthopaedics &Amp; Related Research

124

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Background Superior labral anterior-posterior (SLAP) lesions are a common cause of pain and disability in athletes. Individual studies have suggested low patient satisfaction with SLAP repairs in throwing athletes in particular and it is unclear how frequently athletes return to their previous level of competetion. Questions/purposes We systematically reviewed the literature to determine (1) patient satisfaction and (2) return to play at previous level of competition among throwing athletes compared to all athletes who underwent repair of Type II SLAP tears using various types of fixation. Methods We searched databases for English-language articles in peer-reviewed journals from 1950 to 2010 reporting Type II SLAP repairs with 2-year followup for our systematic review. A total of 506 patients with Type II SLAP tears were reviewed from 14 studies; of these, 327 had SLAP lesions repaired by anchor, 169 by tacks, and 10 by staples. Of the 506 patients, 198 were overhead athletes with a pooled subset of 81 identified baseball players. Results For the entire patient population, 83% had ''good-to-excellent'' patient satisfaction and 73% returned to their previous level of play whereas only 63% of overhead athletes returned to their previous level of play. Anchor repair in overhead athletes resulted in a higher percentage of ''good-to-excellent'' patient satisfaction (88% versus 74%) and a slightly higher return to play rate (63% versus 57%) compared with tack repair. Conclusions Repair of Type II SLAP tears leads to a return to previous level of play in most patients. Overhead athletes appear to have a lower rate of return to level of previous of play. Anchor fixation appears to be the most favorable fixation in both subjective scores and return to previous level of play.

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Section: Introductionmentioning

confidence: 99%

Return to Play After Type II Superior Labral Anterior-Posterior Lesion Repairs in Athletes: A Systematic Review

Sayde

Cohen

Ciccotti

et al. 2012

Clinical Orthopaedics &Amp; Related Research

124

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“…The current approach to type-II SLAP lesions favors surgical repair. Multiple fixation methods have been utilized, including transosseous sutures, arthroscopic suture anchors, staples, screws, and bioabsorbable tacks 3,[10][11][12][13][14][15][16][17][18][19] . A survey of the literature revealed outcome data based largely on retrospective series consisting of small numbers of patients and involving various surgical techniques and fixation options.…”

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confidence: 99%

Outcomes After Arthroscopic Repair of Type-II SLAP Lesions

Brockmeier¹,

Voos

Williams

et al. 2009

The Journal of Bone and Joint Surgery-American Volume

217

177

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“…Although controversy exists with regard to whether surgical treatment is better than conservative treatment for type II SLAP lesions, various fixation techniques to stabilize SLAP lesions have been developed, including transosseous sutures 17) and arthroscopic repair using suture anchors, 18) staples, 19) screws, 7) or bioabsorbable tacks. 20) According to a recent systematic review, outcomes of SLAP lesion repair were excellent for patients not involved in throwing or overhead activity, but were less predictable for those who did participate in overhead activity. 21) However, most clinical outcome studies regarding type II SLAP lesions have assessed patients younger than 40 years of age, and there is a lack of acceptable knowledge regarding the clinical characteristics and appropriate treatment for middle-aged patients with such lesions.…”

Section: Discussionmentioning

confidence: 99%

Age-related Outcome of Arthroscopic Repair of Isolated Type II Superior Labral Anterior to Posterior Lesions

Kwon

Kim

Yeom³

et al. 2015

Clinics in Shoulder and Elbow

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Background: Repair of superior labral anterior to posterior (SLAP) lesion in patients older than 40 years is controversial. The purpose of this study was to evaluate clinical outcomes of arthroscopic repair of SLAP lesions between younger and older patient groups. Methods: We reviewed 50 patients with isolated type II SLAP lesions who underwent arthroscopic repair. Patients were divided into 2 groups: group 1 included 20 patients aged <40 years, and group 2 included 30 patients aged ≥40 years. Functional outcome at the final follow-up was assessed using a visual analog scale for pain and satisfaction, American Shoulder and Elbow Surgeons form, Constant score, University of California at Los Angeles score, and periodic change in range of motion (ROM). Anatomical outcome was evaluated using computed tomography (CT) arthrography at least 1 year after surgery. Results: No significant differences in functional scores or postoperative ROM were observed between the 2 groups. In group 2, later recovery of ROM (forward flexion, p=0.025; internal rotation, p=0.034) and lower satisfaction score (p=0.06) were observed for atraumatic patients (n=16) compared to patients with traumatic injury (n=14). Fifteen patients in group 1 (15/17, 88%) and 21 patients in group 2 (21/26, 81%) demonstrated a healed labrum on postoperative CT arthrography, and this difference was not significant. Conclusions:The results of this study suggest that arthroscopic repair of type II SLAP lesions can yield good functional and anatomical outcomes regardless of age, if patient selection is adequate. However, the delay in ROM recovery and lower satisfaction, particularly in older patients without traumatic injury, should be considered. (Clin Shoulder Elbow 2015;18(1):36-42)

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Arthroscopic stabilization of type II SLAP lesions using an absorbable tack

Cited by 126 publications

References 28 publications

Return to Play After Type II Superior Labral Anterior-Posterior Lesion Repairs in Athletes: A Systematic Review

Return to Play After Type II Superior Labral Anterior-Posterior Lesion Repairs in Athletes: A Systematic Review

Outcomes After Arthroscopic Repair of Type-II SLAP Lesions

Age-related Outcome of Arthroscopic Repair of Isolated Type II Superior Labral Anterior to Posterior Lesions

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