Unstable Isolated SLAP Lesion: Clinical Presentation and Outcome of Arthroscopic Fixation

Rhee, Yong Girl; Lee, Dong Hun; Lim, Chan Teak

doi:10.1016/j.arthro.2005.05.016

Cited by 88 publications

(86 citation statements)

References 28 publications

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“…Our sample showed, in agreement with the literature, that SLAP lesions were more frequent among males (90%), affected the dominant limb more (80%) and were generally secondary to a traumatic mechanism (56%) (7,9,(22)(23)(24)(25) . According to Snyder's classification, as modified by Maffet, type II (51%) was found most frequently, as also shown in other studies (7,9,24) .…”

Section: Discussionsupporting

confidence: 80%

“…explained by the low percentage of SLAP lesions alone (4%) in our sample, which affected younger patients (22,23,(26)(27)(28) . SLAP lesions are often associated with other lesions in the shoulder (24,29) .…”

Section: Discussionmentioning

confidence: 99%

“…Arthroscopic repair of SLAP lesions, in cases of labral deinsertion, has been considered to be the preferred treatment, with good results obtained (2,14,(22)(23)(24) . Some authors have reported that patients undergoing SLAP lesion repair may evolve with complications that compromise the final result from the treatment, including: residual pain, adhesive capsulitis and non--return to previous activity level (10,25,26,31) .…”

Section: Discussionmentioning

confidence: 99%

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Avaliação dos resultados e complicações da sutura artroscópica da lesão SLAP

Miyazaki¹,

Fregoneze²,

Santos³

et al. 2011

Rev. bras. ortop.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Avaliação dos resultados e complicações da sutura artroscópica da lesão SLAP

Miyazaki¹,

Fregoneze²,

Santos³

et al. 2011

Rev. bras. ortop.

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“…Many studies 2,6,7, [11][12][13]15,20,21) have reported the techniques and results of arthroscopic repair of the unstable SLAP lesion. The SLAP lesion was classified into 4 types by Snyder et al 16) in 1990.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Repair of Type II SLAP Lesion with Bioabsorbable Knotless Suture Anchor: Surgical Technique and Clinical Results

Lee¹,

Kim²,

Hwang³

et al. 2007

Clinics in Shoulder and Elbow

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Purpose:The purpose of this study was to evaluate the results of bioabsorbable knotless suture anchoring for isolated type II SLAP. Materials and Methods:Fourteen patients with isolated type II SLAP underwent a surgical repair with bioabsorbable knotless anchor arthroscopically. Instability, rotator cuff tears or simple subacromial decompression were excluded. The UCLA and pain of VAS (Visual Analogue Scale), ADL (Activity of Daily Living, from the American Shoulder and Elbow Society) were evaluated and patients underwent a thorough shoulder examination at a minimum follow-up period of 2 years postoperatively.Results: At a mean of 27.1 months follow-up. The mean UCLA score improved from 14.4 pre-operatively to 31.2 on last follow-up. The mean VAS for pain was 4.9 and on last follow-up 1.0. The mean VAS for instability was 2.6 and on last follow-up 0.5. The mean ADL was 10.4 and on last follow-up 25.0. 12 patients reported their satisfaction as good to excellent and 10 of the 14 patients returned to their pre-injury level of activity (athletics) (P<0.05).Conclusion: Arthroscopic repair with bioabsorbable knotless suture anchors is an effective surgical technique for the treatment of an isolated unstable type II SLAP lesion. Overall satisfaction was only 85.7%. 1 patient had severe stiffness and 1 patient had shoulder pain.

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“…[6][7][8] However, Cohen et al 9) reported that, in 41 retrospectively analyzed type II SLAP repairs, the satisfaction level reached only 71% and that nocturnal pain persisted in 41% of patients. Likewise, in another retrospective study, Provencher et al 10) found that, despite a functional improvement after SLAP repairs, 37% of the 179 cases failed to recover pre-injury levels of activity and 28% had required reoperation later.…”

mentioning

confidence: 99%

Do Knots Matter in Superior Labrum Anterior to Posterior Lesions Repair?

Jeong

Joung

Kim

et al. 2017

Clinics in Shoulder and Elbow

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Background: In general, the outcomes of arthroscopic repair for superior labrum anterior to posterior lesions (SLAP) are favorable, however, persistent pain and limitation of motion are not rare complications. One of the possible cause is a "knot-ache". This study evaluated the results of reoperation of symptomatic recurrent SLAP lesions and asked whether the knot is associated with postoperative complications. Methods: Between 2005 and 2015, a total of 11 patients who had undergone arthroscopic SLAP repair were reoperated for recurrent symptomatic SLAP lesion. By retrospective chart review, operative findings, the visual analogue scale for pain (pVAS), the range of motion (ROM), and functional scores were analyzed. Results: The mean age of the study participants was 38.3 years, and the mean follow-up period was 42.5 months. In the primary operation, there were nine cases of repairs with conventional knot-tying anchors and three cases with knotless anchors. Impingement of the knots during abduction and external rotation of the shoulder was observed in the all cases with knot-tying anchors. The mean pVAS, ROM, and functional scores significantly improved with reoperation. At the final follow-up, the mean satisfaction VAS was 8.3. Conclusions: The knots of suture anchor maybe a possible etiology of the pain, which we termed a "knot-ache". Considering that reoperation is performed due to pain after primary repair, the use of knotless suture anchor may have benefits of eliminating one of possible cause, "knot-ache". Therefore, authors suggest the use of knotless anchors during reoperation for recurrent or recalcitrant pain after primary SLAP repair. (Clin Shoulder Elbow 2017;20(2):68-76)

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Unstable Isolated SLAP Lesion: Clinical Presentation and Outcome of Arthroscopic Fixation

Cited by 88 publications

References 28 publications

Avaliação dos resultados e complicações da sutura artroscópica da lesão SLAP

Avaliação dos resultados e complicações da sutura artroscópica da lesão SLAP

Arthroscopic Repair of Type II SLAP Lesion with Bioabsorbable Knotless Suture Anchor: Surgical Technique and Clinical Results

Do Knots Matter in Superior Labrum Anterior to Posterior Lesions Repair?

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