[Show abstract][Hide abstract] ABSTRACT: We retrospectively evaluated patients who underwent arthroscopic repair for isolated type 2 superior labrum anterior posterior (SLAP) lesions.
Isolated type 2 SLAP lesions were treated with arthroscopic repair with suture anchors in eight patients (5 males, 3 females; mean age 48.5 years; range 27 to 60 years) with shoulder pain unresponsive to conservative treatment. The mean duration of symptoms was 18.6 months (range 2 to 48 months). Initial diagnoses were based on patients' complaints and findings of physical examination and radiologic imaging, and were confirmed at diagnostic arthroscopy. Two suture anchors were used in six patients. Patients were evaluated with physical examination, radiographs, and the UCLA (University of California at Los Angeles) score. The mean follow-up was 30.8 months (range 14 to 48 months).
The mean preoperative and postoperative UCLA scores were 13.3 (range 10 to 18) and 30.8 (range 24 to 33), respectively (p<0.05). The results were good in seven patients (87.5%), and fair in one patient (12.5%). The mean preoperative active forward elevation was 136.3 degrees (range 90 degrees to 170 degrees), adduction-external rotation was 42.5 degrees (range 40 degrees to 60 degrees), and adduction-internal rotation was at T7 in three patients, and at L1 in five patients. At final follow-ups, the mean active forward flexion increased to 164.3 degrees (range 150 degrees to 170 degrees), adduction-external rotation was 40 degrees (range 30 degrees to 60 degrees), and adduction-internal rotation was at T7 in four patients, and at T12 in four patients.
The results of arthroscopic fixation of type 2 SLAP lesions with suture anchors are successful in the majority of patients, provided that an appropriate arthroscopic technique is performed to re-establish the stability of the biceps anchor.
[Show abstract][Hide abstract] ABSTRACT: We retrospectively evaluated patients who underwent arthroscopic treatment for superior labrum anterior posterior (SLAP) lesions combined with antero-inferior labral detachment (Bankart lesion, Maffet type 5).
The study included eight male patients (mean age 31.8 years; range 23 to 50 years) who were treated with suture anchors for type 5 SLAP lesions. In all the patients the symptoms started after trauma, and all presented with shoulder instability findings. The range of motion was measured in the sitting position by a goniometer, and muscle force was assessed manually. In addition, Speed and O'Brien tests and Jobe relocation test were performed. All the patients were examined by standard shoulder magnetic resonance scans. Functional results were evaluated according to the UCLA (University of California at Los Angeles) shoulder score, and the Rowe rating scale for Bankart repairs. The mean follow-up was 37.8 months (range 24 to 52 months).
Functional results were excellent-good in five patients, fair in two patients, and poor in one patient. The mean UCLA score increased from a preoperative 15 (range 14-17) to a postoperative 30 (range 20-35), with a corresponding increase in the mean Rowe score from 25 (range 15-45) to 81 (range 50-95) (p<0.05).
Arthroscopic repair of combined Bankart and SLAP lesions may present technical difficulties. Nevertheless, it is possible to get good results in selected patients in whom intraarticular pathologies are diagnosed and treated appropriately.