396 results match your criteria Superior Labrum Lesions


Recurrent anterior shoulder instability in patients 40-60 years old. Accompanying injuries and patient outcomes of arthroscopic repair.

J Orthop Sci 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey.

Background: Accompanying injuries are frequently seen in middle aged patients with recurrent instability. The aim of this study was to elucidate the associated injuries, report patient outcomes of the following arthroscopic instability surgery regarding 40-60 years old patients with recurrent shoulder instability.

Methods: Patients that underwent arthroscopic instability surgery due to recurrent shoulder instability between February 2008 and November 2015, and which were 40-60 years old were included and evaluated retrospectively. Read More

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http://dx.doi.org/10.1016/j.jos.2020.05.005DOI Listing

Comparison of the clinical results of isolated Bankart and SLAP 5 lesions after arthroscopic repair.

Jt Dis Relat Surg 2020 18;31(2):223-229. Epub 2020 Jun 18.

Harran Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 63300 Şanlıurfa, Türkiye.

Objectives: This study aims to compare the clinical results of patients with traumatic isolated Bankart lesions and type V superior labrum anterior to posterior (SLAP) lesions after arthroscopic repair.

Patients And Methods: Patients who underwent arthroscopic repair for traumatic anterior glenohumeral instability were evaluated retrospectively between December 2014 and January 2019. Fifty-one patients (49 males, 2 females; mean age 25 years; range, 18 to 36 years) without bone defects affecting >20% of the glenoid fossa, off-track engaging Hills-Sachs lesions, multidirectional instability, or ligamentous laxity were included in the study. Read More

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http://dx.doi.org/10.5606/ehc.2020.74750DOI Listing

A Cadaveric Study of Cam Type Femoroacetabular Impingement: Biomechanical Comparison of Contact Pressures Between Cam Deformity, Partial Femoral Osteoplasty, and Complete Femoral Osteoplasty.

Arthroscopy 2020 May 24. Epub 2020 May 24.

Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL USA.

Purpose: To compare the biomechanical properties of the hip joint with an intact femoral cam lesion, partial resection, and complete cam resection.

Methods: A cadaveric study was performed using eight hemi-pelvises with cam-type morphology (alpha angle >55°) and an intact labrum. Intraarticular pressure maps were produced for each specimen under the following conditions: 1) native cam morphology (INTACT), 2) cam morphology with incomplete resection (PARTIAL) and 3) cam morphology with complete resection (COMPLETE). Read More

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http://dx.doi.org/10.1016/j.arthro.2020.05.021DOI Listing

Complications and Return to Activity After Arthroscopic Repair of Isolated Type II SLAP Lesions: A Systematic Review Comparing Knotted Versus Knotless Suture Anchors.

Orthop J Sports Med 2020 Apr 20;8(4):2325967120911361. Epub 2020 Apr 20.

Sports Medicine Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Background: Superior labral anterior to posterior (SLAP) tears are one of the most common injuries to the shoulder, with the type II variant representing the most frequently encountered subtype.

Purpose: To systematically review the literature to better understand outcomes after arthroscopic repair of isolated type II SLAP lesions using knotted versus knotless anchors based on implant number, implant location, patient position, and portal position.

Study Design: Systematic review; Level of evidence, 4. Read More

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http://dx.doi.org/10.1177/2325967120911361DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171991PMC

Arthroscopic treatment of type II superior labral anterior to posterior (SLAP) lesions in a younger population: minimum 2-year outcomes are similar between SLAP repair and biceps tenodesis.

Knee Surg Sports Traumatol Arthrosc 2020 Apr 6. Epub 2020 Apr 6.

Department of Orthopaedic Surgery, Northwestern University, Lavin Family Pavilion, 259 E. Erie St. 13th Fl., Chicago, IL, 60611, USA.

Purpose: Compared to a relatively older population over 30-40 years of age, the efficacy of biceps tenodesis for type II SLAP lesions in a younger population is not well studied. The purpose of this study was to compare outcomes between biceps tenodesis and labral repair for type II SLAP lesions in a young active population.

Methods: Patients aged 15-40 who underwent primary arthroscopic biceps tenodesis or SLAP repair for type II SLAP tears between 2009 and 2016 were included. Read More

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http://dx.doi.org/10.1007/s00167-020-05971-0DOI Listing

Bankart repair alone in combined Bankart and superior labral anterior-posterior lesions preserves range of motion without compromising joint stability.

JSES Int 2020 Mar 21;4(1):63-67. Epub 2020 Jan 21.

Division of Orthopedic Research, Mayo Clinic, Rochester, MN, USA.

Hypothesis: The purpose was to investigate joint stability and range of motion after a Bankart repair without superior labral anterior-posterior (SLAP) repair (termed "Bankart repair") and after combined Bankart and SLAP repairs (termed "combined repair").

Methods: Eight fresh-frozen shoulders were used. Combined Bankart and SLAP lesions were created (10- to 6-o'clock positions). Read More

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http://dx.doi.org/10.1016/j.jseint.2019.11.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075760PMC

7-T clinical MRI of the shoulder in patients with suspected lesions of the rotator cuff.

Eur Radiol Exp 2020 Feb 7;4(1):10. Epub 2020 Feb 7.

Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Germany.

Background: To evaluate feasibility and diagnostic performance of clinical 7-T magnetic resonance imaging (MRI) of the shoulder.

Methods: Eight patients with suspected lesions of the rotator cuff underwent 7-T MRI before arthroscopy. Image quality was scored for artifacts, B inhomogeneities, and assessability of anatomical structures. Read More

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http://dx.doi.org/10.1186/s41747-019-0142-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7005228PMC
February 2020

Editorial Commentary: The Surgeon is the Method: Patient Positioning in Arthroscopic Repair of Shoulder Panlabral Tears.

Authors:
Eric T Ricchetti

Arthroscopy 2020 02;36(2):419-421

Cleveland, Ohio.

Combined tears of the anterior, posterior, and superior glenoid labrum have not been commonly reported in the literature. These lesions represent a small, but significant portion of labral injuries. Care should be taken in the diagnosis and management of these lesions because preoperative physical examination and imaging may have limited ability to detect the full extent of pathology. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.11.001DOI Listing
February 2020

Arthroscopic Circumferential Labral Repair for Patients With Multidirectional Instability: A Comparative Outcome Study.

Orthop J Sports Med 2019 Dec 27;7(12):2325967119890103. Epub 2019 Dec 27.

Department of Orthopedic Surgery, Tufts University School of Medicine, Boston, Massachusetts, USA.

Background: Circumferential tears of the glenohumeral labrum are an uncommon injury, comprising 2.4% of all labral lesions. Currently, the clinical outcomes of arthroscopic circumferential labral repair for patients with instability and combined anterior, posterior, and superior labral tears are not well-known. Read More

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http://dx.doi.org/10.1177/2325967119890103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935876PMC
December 2019

National trends in the diagnosis and repair of SLAP lesions in the United States.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499019888552

Division of Shoulder and Elbow Surgery, Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Medicine, Chicago, IL, USA.

Background: Since superior labrum anterior-to-posterior (SLAP) tear was introduced as an International Classification of Diseases-Ninth Revision, Clinical Modification diagnosis in 1994, awareness, diagnosis, and surgical treatment of this disorder has increased. Here, we aim to clarify trends in the frequency of SLAP tear diagnosis and arthroscopic SLAP repair surgery in the United States.

Methods: Using private insurance claims from 2003 to 2013 in MarketScan (approximately 55 million Americans), we identified patients with SLAP tear diagnosis or arthroscopic SLAP repair surgery. Read More

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http://dx.doi.org/10.1177/2309499019888552DOI Listing
December 2019

USE of CLINICAL TEST CLUSTERS VERSUS ADVANCED IMAGING STUDIES in the MANAGEMENT of PATIENTS with a SUSPECTED SLAP TEAR.

Int J Sports Phys Ther 2019 Jun;14(3):345-352

Department of Physical Therapy, Tennessee State University, Nashville, TN, USA.

Background And Purpose: The Magnetic Resonance Arthrogram (MRA) has served as the gold standard for identifying patients with possible Superior Labrum Anterior-Posterior (SLAP) lesions and are often required by orthopaedic surgeons prior to clinical evaluation. However, as the literature shows MRA sensitivity as 0.65-0. Read More

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http://dx.doi.org/10.26603/ijspt20190345DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6816291PMC

MR arthrographic evaluation of posterior paraglenoid labral cysts: a retrospective study.

Acta Radiol 2020 Jun 25;61(6):789-795. Epub 2019 Oct 25.

Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey.

Background: Paraglenoid labral cysts (PLCs) around the shoulder are uncommon. Magnetic resonance imaging (MRI) is the primary imaging modality for the description of PLCs.

Purpose: The purpose of this study was to evaluate PLCs in the posterior part of the glenoid bone via MR arthrography as well as to describe associated labral abnormalities. Read More

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http://dx.doi.org/10.1177/0284185119883389DOI Listing

Internal impingement of the shoulder: An international survey of 261 orthopaedic surgeons.

Orthop Traumatol Surg Res 2019 12 21;105(8S):S207-S212. Epub 2019 Sep 21.

15, rue Ampère, 92500 Rueil-Malmaison, France.

Background: Internal impingement of the shoulder (IIS) is a specific disorder of young overhead-throwing athletes that was first described in 1991. The many non-operative and surgical treatments suggested to date have produced mixed outcomes. The objective of this study was to compare the practices of surgeons in France versus other countries regarding the diagnosis and treatment of IIS. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.09.007DOI Listing
December 2019
2 Reads

Magnetic resonance-guided direct shoulder arthrography for the detection of superior labrum anterior-posterior lesions using an open 1.0-T MRI scanner.

Pol J Radiol 2019 20;84:e251-e257. Epub 2019 May 20.

Department of Radiology and Nuclear Medicine, Otto-von-Guericke University, Magdeburg, Germany.

Purpose: Direct magnetic resonance arthrography (MRA) offers increased diagnostic accuracy compared to conventional magnetic resonance imaging (MRI) in the detection of superior labrum anterior-posterior (SLAP) lesions. The aim of the present study was to present the technique of magnetic resonance-guided direct shoulder arthrography (MDSA), to evaluate the diagnostic value of this novel MRA procedure to detect SLAP lesions in comparison to the currently practiced MRI, and to correlate the radiological findings to the respective arthroscopic findings.

Material And Methods: Fifty-six patients with clinical signs of a SLAP lesion underwent both MRI examination and MDSA prior to arthroscopic surgery. Read More

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http://dx.doi.org/10.5114/pjr.2019.86894DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6717947PMC
May 2019
1 Read

Accuracy of examination of the long head of the biceps tendon in the clinical setting: A systematic review.

J Rehabil Med 2019 Jul;51(7):479-491

Physical medicine and Rehabilitation, CHU de Quebec-Université Lava, G1J1Z4 Quebec City, Canada.

Objective: To determine the diagnostic validity of high-resolution ultrasound and orthopaedic special tests in diagnosing long head of the biceps tendon pathologies in patients with shoulder pain.

Design: Systematic review with meta-analysis tools.

Data Sources: MEDLINE, CINAHL and EMBASE. Read More

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http://dx.doi.org/10.2340/16501977-2563DOI Listing
July 2019
7 Reads

Editorial Commentary: Which to Fix-the Biceps or the Labrum? The Shoulder SLAP Tear Is Still Controversial.

Arthroscopy 2019 06;35(6):1939-1940

Dublin, Ireland.

A type II SLAP tear in a young and active patient remains a controversial and challenging clinical entity. Arthroscopic repair is generally a successful procedure for type II SLAP lesions, but the results can be unpredictable. Biceps tenodesis has become increasingly popular for the management of these lesions, with recent clinical literature suggesting that the results may be equivalent or superior to those of SLAP repair. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.02.026DOI Listing
June 2019
8 Reads

Pathoanatomy of Shoulder Instability in Collegiate Female Athletes.

Am J Sports Med 2019 07 31;47(8):1909-1914. Epub 2019 May 31.

Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Background: Shoulder instability has been well described in young men; however, few studies have specifically evaluated the pathoanatomy and unique spectrum of injuries in women with shoulder instability.

Purpose: To describe the pathoanatomy of operative shoulder instability in a collegiate female cohort.

Study Design: Case series; Level of evidence, 4. Read More

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http://dx.doi.org/10.1177/0363546519850810DOI Listing
July 2019
22 Reads

Return to Sport After the Surgical Treatment of Superior Labrum Anterior to Posterior Tears: A Systematic Review.

Orthop J Sports Med 2019 May 6;7(5):2325967119841892. Epub 2019 May 6.

Department of Orthopaedic Surgery, Boston University School of Medicine, Boston, Massachusetts, USA.

Background: Controversy exists as to the optimal treatment of superior labrum anterior to posterior (SLAP) tears in athletes. There are no systematic reviews evaluating return-to-sport (RTS) rates after arthroscopic SLAP repair and biceps tenodesis.

Purpose: To compare the overall RTS rates in patients with primary type 2 SLAP tears who were managed with arthroscopic SLAP repair versus biceps tenodesis. Read More

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http://dx.doi.org/10.1177/2325967119841892DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6506928PMC
May 2019
7 Reads

Surgical management of type II superior labrum anterior posterior (SLAP) lesions: a review of outcomes and prognostic indicators.

Phys Sportsmed 2019 11 30;47(4):375-386. Epub 2019 Apr 30.

Department of Orthopaedic Surgery, Boston University School of Medicine, Boston, MA, USA.

A Type II SLAP (superior labrum anterior posterior) lesion is a tear of the superior glenoid labrum with involvement of the long head of the biceps tendon insertion. In patients that do not improve with conservative treatment, there is a great deal of variability in the surgical management of these injuries that includes arthroscopic SLAP repair, arthroscopic SLAP repair with biceps tenodesis, biceps tenodesis alone and biceps tenotomy. Each surgical technique has specific effects on a patient's postoperative course and functional recovery. Read More

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http://dx.doi.org/10.1080/00913847.2019.1607601DOI Listing
November 2019
5 Reads

Do intra-articular pathologies accompanying symptomatic acromioclavicular joint degeneration vary across age groups?

Eklem Hastalik Cerrahisi 2019 Apr;30(1):2-9

Department of Orthopedics and Traumatology, Necmettin Erbakan University Meram Faculty of Medicine, 42080 Meram, Konya, Turkey.

Objectives: This study aims to evaluate the accompanying intra-articular pathologies in patients who underwent arthroscopic distal clavicle resection (DCR) for symptomatic acromioclavicular (AC) joint degeneration based on age groups and to reveal which additional pathologies should be considered across different age groups during physical examination of patients suspected of AC joint degeneration.

Patients And Methods: The study included 156 patients (55 males, 101 females; mean age 57.2±10. Read More

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http://dx.doi.org/10.5606/ehc.2019.62431DOI Listing
April 2019
14 Reads

Injuries of the Biceps and Superior Labral Complex in Overhead Athletes.

Curr Rev Musculoskelet Med 2019 Jun;12(2):72-79

Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, NY, USA.

Purpose Of Review: To summarize the current anatomy, biomechanics, presentation, treatment, and outcomes of injuries to the biceps and superior labral complex in overhead athletes.

Recent Findings: The biceps and superior labral complex is composed of anatomically distinct zones. The inability to accurately diagnose biceps lesions contributes to continued morbidity especially as arthroscopy and advanced imaging fail to fully evaluate the entire course of the biceps tendon. Read More

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http://dx.doi.org/10.1007/s12178-019-09539-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542958PMC
June 2019
4 Reads

Assessments of activities of daily living after arthroscopic SLAP repair with knot-tying versus knotless suture anchors.

Arch Orthop Trauma Surg 2019 Jul 28;139(7):981-990. Epub 2019 Feb 28.

Department of Sporttraumatology-Knee- and Shoulder-Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany.

Purpose: The clinical influence of knot-tying or knotless anchor systems for the arthroscopic repair of SLAP lesions (superior labrum lesion from anterior to posterior) remain unclear.

Materials And Methods: In a retrospective cohort analysis, 61 of 78 (78.2%) patients with isolated symptomatic SLAP II lesions were examined with a minimum of 24 months after arthroscopic SLAP repair compared to a control group: 28 patients with knot-tying anchors (group I, G1; 28. Read More

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http://dx.doi.org/10.1007/s00402-019-03151-5DOI Listing
July 2019
4 Reads

SLAP lesions: current controversies.

EFORT Open Rev 2019 Jan 28;4(1):25-32. Epub 2019 Jan 28.

Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.

Knowledge of the pertinent anatomy, pathogenesis, clinical presentation and treatment of the spectrum of injuries involving the superior glenoid labrum and biceps origin is required in treating the patient with a superior labrum anterior and posterior (SLAP) tear.Despite the plethora of literature regarding SLAP lesions, their clinical diagnosis remains challenging for a number of reasons.First, the diagnostic value of many of the available physical examination tests is inconsistent and ambiguous. Read More

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http://dx.doi.org/10.1302/2058-5241.4.180033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362364PMC
January 2019
8 Reads

Is arthroscopic repair superior to biceps tenotomy and tenodesis for type II SLAP lesions? A meta-analysis of RCTs and observational studies.

J Orthop Surg Res 2019 Feb 13;14(1):48. Epub 2019 Feb 13.

Department of Joint and Sport Medicine, Tianjin Union Medical Center, Jieyuan Road 190, Hongqiao District, Tianjin, 300121, People's Republic of China.

Objective: Labral repair and biceps tenotomy and tenodesis are routine operations for type II superior labrum anterior posterior (SLAP) lesion of the shoulder, but evidence of their superiority is lacking. We conducted this systematic review and meta-analysis to compare the clinical outcomes of arthroscopic repair versus biceps tenotomy and tenodesis intervention.

Methods: The eight studies were acquired from PubMed, Medline, Embase, CNKI, and Cochrane Library. Read More

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http://dx.doi.org/10.1186/s13018-019-1096-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375148PMC
February 2019
30 Reads

Effectiveness of biceps tenodesis versus SLAP repair for surgical treatment of isolated SLAP lesions: A systemic review and meta-analysis.

J Orthop Translat 2019 Jan 4;16:23-32. Epub 2018 Oct 4.

Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.

Background: Type II superior labrum anterior and posterior (SLAP) lesions could induce chronic shoulder pain and impaired movement. Current management of Type II SLAP lesions consists of two well-established surgical procedures: arthroscopic biceps tenodesis and SLAP repair. However, which technique is preferred over the other is still a controversy. Read More

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http://dx.doi.org/10.1016/j.jot.2018.09.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350076PMC
January 2019
19 Reads

Current trends in the evaluation and treatment of SLAP lesions: analysis of a survey of specialist shoulder surgeons.

JSES Open Access 2018 Mar 1;2(1):48-53. Epub 2018 Feb 1.

Melbourne Orthopaedic Group, Windsor, VIC, Australia.

Background: Controversies exist in the classification and management of superior labral anterior and posterior (SLAP) lesions. Our aims were to assess the concordance rate of a group of specialist shoulder surgeons on the diagnosis of SLAP types and to assess the current trends in treatment preferences for different SLAP types.

Methods: Shoulder surgeons (N = 103) who are members of the Shoulder and Elbow Society of Australia were invited to participate in a multimedia survey on the classification and management of SLAP lesions. Read More

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http://dx.doi.org/10.1016/j.jses.2017.12.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334883PMC
March 2018
6 Reads

Arthroscopic Findings and Clinical Outcomes in Patients 40 Years of Age and Older With Recurrent Shoulder Dislocation.

Arthroscopy 2019 02 3;35(2):314-322. Epub 2019 Jan 3.

Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. Electronic address:

Purpose: The present study investigates the intra-articular findings and clinical outcomes after arthroscopic surgery in patients after age 40 with chronic anterior shoulder instability.

Methods: Fifty patients older than 40 years who underwent arthroscopic stabilization for recurrent anterior shoulder dislocation were analyzed.

Results: The mean age at the time of surgery was 44. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07498063183073
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http://dx.doi.org/10.1016/j.arthro.2018.08.041DOI Listing
February 2019
27 Reads

Surgical Management of Comminuted, Displaced Greater Tuberosity Fractures: A New Technique of Subacromial Spacer on Top of Double-Row Suture Anchor Fixation.

Authors:
Leslie Naggar

Joints 2018 Sep 31;6(3):211-214. Epub 2018 Oct 31.

Cabinet Médical, Lausanne, Switzerland.

Arthroscopic treatment of greater tuberosity (GT) fractures has been previously described. Arthroscopy allows identifying and addressing coexisting injuries, such as rotator cuff tears, labrum, or superior labrum anterior and posterior lesions, which are often present. Fracture comminution precludes the use of rigid fracture fixation with screws and arthroscopic rotator cuff repair is performed instead. Read More

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http://dx.doi.org/10.1055/s-0038-1675162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301850PMC
September 2018
29 Reads

Athletes With Musculoskeletal Injuries Identified at the NFL Scouting Combine and Prediction of Outcomes in the NFL: A Systematic Review.

Orthop J Sports Med 2018 Dec 12;6(12):2325967118813083. Epub 2018 Dec 12.

Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York, USA.

Background: Prior to the annual National Football League (NFL) Draft, the top college football prospects are evaluated by medical personnel from each team at the NFL Scouting Combine. On the basis of these evaluations, each athlete is assigned an orthopaedic grade from the medical staff of each club, which aims to predict the impact of an athlete's injury history on his ability to participate in the NFL.

Purpose: (1) To identify clinical predictors of signs, symptoms, and subsequent professional participation associated with football-related injuries identified at the NFL Combine and (2) to assess the methodological quality of the evidence currently published. Read More

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http://dx.doi.org/10.1177/2325967118813083DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293380PMC
December 2018
10 Reads

Elite Rowers Demonstrate Consistent Patterns of Hip Cartilage Damage Compared With Matched Controls: A T2* Mapping Study.

Clin Orthop Relat Res 2019 05;477(5):1007-1018

B. Bittersohl, C. Benedikter, A. Franz. T. Hesper, R. Krauspe, C. Zilkens, Department of Orthopedics, University of Düsseldorf, Medical Faculty, Düsseldorf, Germany C. Schleich, G. Antoch, Department of Diagnostic and Interventional Radiology, University of Düsseldorf, Medical Faculty, Düsseldorf, Germany H. S. Hosalkar, Hosalkar Institute, San Diego, CA, USA; Joint Preservation and Deformity Correction, Paradise Valley Hospital, San Diego, CA, USA; and Hip Preservation, Tricity Medical Center, San Diego, CA, USA One of the authors certifies that he (RK) has received or may receive payments or benefits, during the study period, an amount of less than USD 10,000 from Corin (Cirencester, UK).

Background: Rowing exposes the femoral head and acetabulum to high levels of repetitive abutment motion and axial loading that may put elite athletes at an increased risk for developing early hip osteoarthritis.

Questions/purposes: Do elite rowers demonstrate characteristic hip cartilage lesions on T2 MRI sequences compared with asymptomatic individuals who do not row?

Methods: This study included 20 asymptomatic rowers (mean age, 23 ± 3 years; nine females, 11 males) who had a minimum of 5 years of intensive (≥ 12 hours/week) training. The recruiting of the rowers took place from the central German federal rowing base, which has inherent intense training and selection requirements to declare these athletes as "elite rowers. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000576DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494313PMC
May 2019
13 Reads

Effect of Anterior Anchor on Clinical Outcomes of Type II SLAP Repairs in an Active Population.

Orthopedics 2019 Jan 7;42(1):e32-e38. Epub 2018 Nov 7.

This study evaluated the role of anchor position in persistence of pain and/or revision biceps tenodesis after arthroscopic repair of type II superior labrum anterior and posterior (SLAP) lesions and assessed for patient- and injury-specific variables influencing clinical outcomes. Active-duty service members who underwent arthroscopic repair of type II SLAP lesions between March 1, 2007, and January 23, 2012, were identified. Patients with less than 2-year clinical follow-up; type I, III, and IV SLAP lesions; and primary treatment with biceps tenodesis and/or rotator cuff repair at the time of index surgery were excluded. Read More

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https://www.healio.com/doiresolver?doi=10.3928/01477447-2018
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http://dx.doi.org/10.3928/01477447-20181102-04DOI Listing
January 2019
11 Reads

Effect of Posterior Glenoid Labral Tears at the NFL Combine on Future NFL Performance.

Orthop J Sports Med 2018 Oct 4;6(10):2325967118787464. Epub 2018 Oct 4.

Steadman Philippon Research Institute, Vail, Colorado, USA.

Background: Posterior labral injuries have been recognized as a particularly significant clinical problem in collision and contact athletes.

Purpose: To evaluate the effect that posterior labral tears have on early National Football League (NFL) performance based on position, associated injuries, and operative versus nonoperative management.

Study Design: Cohort study; Level of evidence, 3. Read More

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http://dx.doi.org/10.1177/2325967118787464DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172941PMC
October 2018
25 Reads

A positive scapular assistance test is equally present in various shoulder disorders but more commonly found among patients with scapular dyskinesis.

Phys Ther Sport 2018 Nov 25;34:129-135. Epub 2018 Sep 25.

Department of Orthopaedic Surgery, Tel-Aviv Medical Center, Tel-Aviv, Israel.

Objective: Assess the frequency of a positive scapular assistance test (SAT) in different shoulder disorders and establish its association with scapular dyskinesis.

Design: Cross-sectional.

Setting: Shoulder clinic. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1466853X183038
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http://dx.doi.org/10.1016/j.ptsp.2018.09.008DOI Listing
November 2018
8 Reads

Shoulder Instability: Interobserver and Intraobserver Agreement in the Assessment of Labral Tears.

Orthop J Sports Med 2018 Sep 6;6(9):2325967118793372. Epub 2018 Sep 6.

Investigation performed at the University of Iowa, Iowa City, Iowa, USA.

Background: The glenohumeral joint combines large range of motion and insufficient bony stabilization, making it susceptible to instability and dislocations. Arthroscopic surgery is routinely used as a diagnostic tool and has been considered the gold standard for the diagnosis of shoulder lesions. However, several studies have demonstrated variability in intraobserver and interobserver agreement. Read More

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http://journals.sagepub.com/doi/10.1177/2325967118793372
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http://dx.doi.org/10.1177/2325967118793372DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6128077PMC
September 2018
38 Reads

Current Concepts in the Evaluation and Management of Type II Superior Labral Lesions of the Shoulder.

Open Orthop J 2018 31;12:331-341. Epub 2018 Jul 31.

Tulane University School of Medicine, Department of Orthpaedic Surgery, New Orleans, LA 70112, USA.

Background: Superior labrum tears extending from anterior to posterior (SLAP lesion) are a cause of significant shoulder pain and disability. Management for these lesions is not standardized. There are no clear guidelines for surgical versus non-surgical treatment, and if surgery is pursued there are controversies regarding SLAP repair versus biceps tenotomy/tenodesis. Read More

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http://dx.doi.org/10.2174/1874325001812010331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110065PMC
July 2018
10 Reads

MR Imaging of SLAP Lesions.

Open Orthop J 2018 31;12:314-323. Epub 2018 Jul 31.

Department of Orthopaedic Surgery, UC Davis School of Medicine, 4860 Y St., Suite 3800, Sacramento, CA 95817, USA.

Background: SLAP lesions of the shoulder are challenging to diagnose by clinical means alone. Interpretation of MR images requires knowledge of the normal appearance of the labrum, its anatomical variants, and the characteristic patterns of SLAP lesions. In general, high signal extending anterior and posterior to the biceps anchor is the hallmark of SLAP lesions. Read More

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http://dx.doi.org/10.2174/1874325001812010314DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110058PMC
July 2018
8 Reads

Superior Labral Anterior to Posterior Tear Management in Athletes.

Open Orthop J 2018 31;12:303-313. Epub 2018 Jul 31.

Houston Methodist Hospital, Houston, Tx 77030, USA.

Background: The diagnosis and treatment of Superior Labrum Anterior to Posterior (SLAP) tears have been evolving and controversial. The lack of clear diagnostic criteria on physical examination, Magnetic Resonance Imaging (MRI), and arthroscopic evaluation clouds the issue. The high rate of MRI diagnosed SLAP lesions in the asymptomatic population of athletes and non-athletes warrants consideration when planning treatment for those with shoulder pain. Read More

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https://openorthopaedicsjournal.com/VOLUME/12/PAGE/303/
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http://dx.doi.org/10.2174/1874325001812010303DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110067PMC
July 2018
10 Reads

Treatment of SLAP Lesions.

Open Orthop J 2018 31;12:288-294. Epub 2018 Jul 31.

University of Ioannina, Orthopaedic Department, Ioannina, Greece.

Background: The surgical treatment of a Superior Labrum Anterior and Posterior (SLAP) lesion becomes more and more frequent as the surgical techniques, the implants and the postoperative rehabilitation of the patient are improved and provide in most cases an excellent outcome.

Objective: However, a standard therapy of SLAP lesions in the shoulder surgery has not been established yet. An algorithm on how to treat SLAP lesions according to their type and data on the factors that influence the surgical outcome is essential for the everyday clinical practice. Read More

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http://dx.doi.org/10.2174/1874325001812010288DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110059PMC
July 2018
11 Reads

Is Anatomical Healing Essential for Better Clinical Outcome in Type II SLAP Repair? Clinico-Radiological Outcome after Type II SLAP Repair.

Clin Orthop Surg 2018 Sep 22;10(3):358-367. Epub 2018 Aug 22.

Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Background: We hypothesized that anatomical healing in superior labrum anterior to posterior (SLAP) repair is associated with good clinical outcome. The purposes of this study were to assess the failure rate of anatomical healing after arthroscopic repair of SLAP lesions using computed tomography arthrography (CTA), investigate correlation of the rate with clinical outcomes, and identify prognostic factors for anatomical failure following SLAP repair.

Methods: We retrospectively evaluated the outcome of 43 patients at a minimum follow-up of 1 year after arthroscopic surgery for SLAP lesions or SLAP lesions associated with Bankart lesions. Read More

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http://dx.doi.org/10.4055/cios.2018.10.3.358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107812PMC
September 2018
12 Reads

Magnetic Resonance Arthrographic Demonstration of Association of Superior Labrum Anterior and Posterior Lesions With Extended Anterior Labral Tears.

J Comput Assist Tomogr 2019 Jan/Feb;43(1):51-60

Department of Orthopedic, Medical Faculty, Ataturk University, Erzurum, Turkey.

Objective: The objective of this study was to evaluate retrospectively the full extent of anterior labral tear and associated other labral tears on magnetic resonance arthrographic images in patients with anterior shoulder instability.

Materials And Methods: One hundred ten magnetic resonance arthrography images with anterior labral tear were retrieved from the database of the Radiology Department. Two skeletal radiologists, one with 15 years of experience and the other with 5 years of experience analyzed the images in random order. Read More

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http://dx.doi.org/10.1097/RCT.0000000000000775DOI Listing
January 2019
38 Reads

Technique for Type IV SLAP Lesion Repair.

Arthrosc Tech 2018 Apr 12;7(4):e337-e342. Epub 2018 Mar 12.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

Type IV SLAP tears involve bucket-handle tears of the superior labrum with the tears extending into the biceps tendon. Surgical treatment options involve either primary repair or biceps tenodesis. Recent literature has shown good clinical outcomes after subpectoral biceps tenodesis for the treatment of type II and IV SLAP lesions. Read More

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http://dx.doi.org/10.1016/j.eats.2017.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981853PMC
April 2018
10 Reads

Outcome of arthroscopic SLAP repair using knot-tying-suture anchors compared with knotless-suture anchors in athletes.

Arch Orthop Trauma Surg 2018 Sep 22;138(9):1273-1285. Epub 2018 May 22.

Department of Sports Orthopedics, Knee- and Shoulder-Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany.

Introduction: Arthroscopic repair is one option for the surgical treatment of type II superior labrum tears from anterior to posterior (SLAP) lesions in athletes' shoulders.

Materials And Methods: Sixty-one of 78 (78.2%) athletes were retrospectively examined after isolated arthroscopic SLAP repair (group 1/G1: 28x knot-tying anchors; group 2/G2: 33 knotless anchors; follow-up 24 months) and compared to two specific, separate matched volunteer athlete control groups (group 3/G3: 28 athletes matched to G1; group 4/G4: 33 athletes matched to G2). Read More

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http://dx.doi.org/10.1007/s00402-018-2951-8DOI Listing
September 2018
11 Reads

[Arthroscopic suprapectoral tenodesis of the long head of the biceps tendon].

Authors:
B Finke W Petersen

Oper Orthop Traumatol 2018 Feb 2;30(1):47-63. Epub 2018 Feb 2.

Klinik für Orthopädie und Unfallchirurgie, Martin-Luther-Krankenhaus Berlin, Berlin, Deutschland.

Objective: The aim of a tenotomy of the long biceps tendon is to remedy a painful pathology in the proximal region of the tendon. Tenodesis of the tendon can restore the motor and cosmetic function of the biceps brachii muscle.

Indications: Partial rupture or tendopathy of the long biceps tendon, injuries of the anchor of the long biceps tendon (SLAP lesions; SLAP: superior labrum anterior posterior), lesions of the pulley system. Read More

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http://dx.doi.org/10.1007/s00064-017-0530-8DOI Listing
February 2018
8 Reads

Arthroscopic Triple Labral Repair in an Adolescent.

Arthrosc Tech 2017 Oct 18;6(5):e1587-e1591. Epub 2017 Sep 18.

OrthoIllinois, Rockford, Illinois, U.S.A.

Traumatic glenohumeral dislocations often result in significant injury to the anterior-inferior labrum, most commonly leading to recurrent anterior instability. While in skeletally immature patients, shoulder trauma more commonly results in fracture versus a true dislocation, shoulder instability does occur and can be difficult to manage in the setting of open physes. In any event, the goal of treatment is to reduce the risk of recurrence and allow full participation in activities, including sports. Read More

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http://dx.doi.org/10.1016/j.eats.2017.06.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710137PMC
October 2017
9 Reads

Neurofilament distribution in the superior labrum and the long head of the biceps tendon.

J Orthop Surg Res 2017 Nov 22;12(1):181. Epub 2017 Nov 22.

AUVA Trauma Center Meidling, Kundratstraße 37, 1120, Vienna, Austria.

Background: The postoperative course after arthroscopic superior labrum anterior to posterior (SLAP) repair using suture anchors is accompanied by a prolonged period of pain, which might be caused by constriction of nerve fibres. The purpose was to histologically investigate the distribution of neurofilament in the superior labrum and the long head of the biceps tendon (LHBT), i.e. Read More

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http://dx.doi.org/10.1186/s13018-017-0686-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700685PMC
November 2017
11 Reads

The high frequency of superior labrum, biceps tendon, and superior rotator cuff pathologies in patients with subscapularis tears: A cohort study.

J Orthop Sci 2018 Mar 17;23(2):304-309. Epub 2017 Nov 17.

Gazi University School of Medicine, Department of Orthopaedics & Traumatology, Ankara, Turkey.

Background: The purpose of this study was to assess the frequency of superior labrum anterior posterior (SLAP) lesions, long head of biceps tendon (LHBT) pathologies, and superior rotator cuff tears accompanying subscapularis tears. We hypothesised that LHBT lesions, superior rotator cuff tears, and especially SLAP lesions were very frequent with subscapularis tears.

Methods: The digital files of patients who underwent shoulder arthroscopy were reviewed retrospectively. Read More

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http://dx.doi.org/10.1016/j.jos.2017.10.014DOI Listing
March 2018
11 Reads

Arthroscopic Evaluation of Subluxation of the Long Head of the Biceps Tendon and Its Relationship with Subscapularis Tears.

Clin Orthop Surg 2017 Sep 4;9(3):332-339. Epub 2017 Aug 4.

Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: The purpose of this study was to evaluate the angle between the long head of the biceps tendon (LHBT) and the glenoid during arthroscopic surgery and its correlation with biceps subluxation on magnetic resonance imaging (MRI). Furthermore, we evaluated the relationship of this angle with subscapularis tears and biceps pathologies.

Methods: MRI and arthroscopic images of 270 consecutive patients who had undergone arthroscopic surgery were retrospectively evaluated. Read More

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http://dx.doi.org/10.4055/cios.2017.9.3.332DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5567029PMC
September 2017
47 Reads