The rising incidence of arthroscopic superior labrum anterior and posterior (SLAP) repairs

Onyekwelu, Ikemefuna; Khatib, Omar; Zuckerman, Joseph D.; Rokito, Andrew S.; Kwon, Young W.

doi:10.1016/j.jse.2012.02.001

Cited by 83 publications

(54 citation statements)

References 21 publications

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“…Shoulder arthroscopy incidence is rising exponentially in the United States, 31–33 yet we continue to have less than optimum means for predicting postoperative recovery. 34 In particular, research has identified few prognostic factors for postoperative shoulder pain intensity and disability.…”

Section: Discussionmentioning

confidence: 99%

Predicting Pain and Disability After Shoulder Arthroscopy

Simon

Coronado

Greenfield

et al. 2016

The Clinical Journal of Pain

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Objectives Study the influence of concomitant arthroscopic procedures and rotator cuff tear (RCT) severity on daily pain intensity and disability following shoulder arthroscopy. Methods 145 patients (mean age: 42.66 ± 17.6; n of males=96) completed daily pain intensity and disability measures prior to shoulder arthroscopy. RCT severity was assessed on a 7-point scale based on operative report. Operative procedures were categorized based on anatomical location and invasiveness to calculate a weighted concomitant procedure estimate. Postoperative daily pain and disability were assessed 3 months, 6 months, and 1 year status-post surgery. Results Only concomitant procedures was associated with 3 month daily pain intensity after adjusting for age, sex, pain duration, and baseline daily pain intensity (R2=.03; St. Beta=.203; p=.036). Moreover, post-hoc analysis revealed concomitant procedures remained predictive of 3 month daily pain intensity when the estimate was calculated independent of RCT procedures (R2 =.05; St. Beta=.233; p=.007), and when accounting for post-operative factors of physical therapy and analgesic medication (R2=.05; St. Beta=.237; p=.007). Neither RCT severity nor concomitant procedures were predictive of daily pain intensity at 6 months and 1 year, or disability at any time point, in the adjusted models (p>.05). Discussion This study introduces a novel means for estimating concurrent procedures for use as a prognostic factor. Our findings are similar to previous research of RCT severity which was found to have limited influence on postoperative outcomes. In contrast, this study highlights the potential importance of accounting for concomitant arthroscopic procedures as a predictor of early postoperative pain intensity outcomes.

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Section: Discussionmentioning

confidence: 99%

Predicting Pain and Disability After Shoulder Arthroscopy

Simon

Coronado

Greenfield

et al. 2016

The Clinical Journal of Pain

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“…Since then, SPARCS has streamlined this collection process in accordance with the Universal Data Set specifications. Previously published studies have used the SPARCS database to report epidemiologic data for various diseases and operative procedures [13][14][15].…”

Section: Methodsmentioning

confidence: 99%

Comparing the Incidence and Clinical Data for Simultaneous Bilateral Versus Unilateral Total Hip Arthroplasty in New York State Between 1990 and 2010

Glait

Khatib

Bansal

et al. 2015

The Journal of Arthroplasty

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“…[2][3][4][5][6][7][8] In Snyder's original description, 2 the authors reported on 27 SLAP tears in over 700 arthroscopic shoulder cases, for an incidence of just under 4%. [2][3][4][5][6][7][8] In Snyder's original description, 2 the authors reported on 27 SLAP tears in over 700 arthroscopic shoulder cases, for an incidence of just under 4%.…”

Section: Epidemiologymentioning

confidence: 99%

“…[2][3][4][5][6][7][8] In Snyder's original description, 2 the authors reported on 27 SLAP tears in over 700 arthroscopic shoulder cases, for an incidence of just under 4%. [4][5][6][7][8] Sports activity was the most common cause of repairable SLAP lesions, and type II SLAP tears were most commonly observed in overhead athletes. Kim and colleagues 3,5 reported an overall incidence of 26% in 544 shoulders.…”

Section: Epidemiologymentioning

confidence: 99%

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SLAP Lesions in the Overhead Athlete

Rokito

Myers

Ryu³

2014

Sports Medicine and Arthroscopy Review

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The diagnosis and management of SLAP lesions in the overhead athlete remains a challenge for the sports medicine specialist due to variable anatomy, changes with aging, concomitant pathology, lack of dependable physical findings on examination, and lack of sensitivity and specificity with imaging studies. This article presents a comprehensive review of the epidemiology, relevant anatomy, proposed pathogenesis, diagnostic approach, and outcomes of nonoperative and operative management of SLAP lesions in the overhead athlete.

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The rising incidence of arthroscopic superior labrum anterior and posterior (SLAP) repairs

Cited by 83 publications

References 21 publications

Predicting Pain and Disability After Shoulder Arthroscopy

Predicting Pain and Disability After Shoulder Arthroscopy

Comparing the Incidence and Clinical Data for Simultaneous Bilateral Versus Unilateral Total Hip Arthroplasty in New York State Between 1990 and 2010

SLAP Lesions in the Overhead Athlete

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