413 results match your criteria Superior Labrum Lesions


Posterior repair of isolated type 2 superior labrum anterior-posterior lesion prevents external rotation deficiency: long-term outcome study.

Knee Surg Sports Traumatol Arthrosc 2021 Jun 7. Epub 2021 Jun 7.

Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 06351, Seoul, South Korea.

Purpose: This study aimed to evaluate the outcomes of arthroscopic type 2 superior labrum anterior-posterior (SLAP) lesion repair in the general population and compare clinical outcomes according to patient age and repair site.

Methods: Between 2005 and 2018, patients who underwent arthroscopic repair for isolated type 2 SLAP lesions were retrospectively reviewed. Baseline characteristics, pre- and postoperative [1-year and > 2-year (final)] shoulder range-of-motion, and functional scores, comprising the pain visual analogue scale (PVAS), functional VAS, and American Shoulder and Elbow Surgeons (ASES) score, were evaluated. Read More

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Variability of Glenoid Labral Tear Patterns: A Study of 280 Sequential Surgical Cases.

J Shoulder Elbow Surg 2021 May 18. Epub 2021 May 18.

Peachtree Orthopaedics, Atlanta, GA, USA. Electronic address:

Background: Glenoid labrum tears are a common cause of shoulder pain and instability and tear patterns have historically been ascribed into categorical descriptions such as anterior, posterior, and superior labral tears (SLAP) with multiple sub-types. Although often quoted as representing no more than 10% of instabilities, posterior shoulder instability may be more common than previously recognized. The purpose of this study was to review observed labral tear patterns and compare incidence and morphologies to historical descriptions. Read More

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Revision Arthroscopic Bankart Repair Versus Arthroscopic Latarjet for Failed Primary Arthroscopic Stabilization With Subcritical Bone Loss.

Orthop J Sports Med 2021 May 4;9(5):23259671211001809. Epub 2021 May 4.

Department of Orthopaedic Surgery and Traumatology, IIS Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain.

Background: Limited evidence is available regarding the recommended technique of revision surgery for recurrent shoulder instability. Only 1 previous study has compared the results of soft tissue repair and the Latarjet technique in patients with persistent shoulder instability after primary surgical stabilization.

Purpose/hypothesis: To evaluate the results of revision surgery in patients with previous surgical stabilization failure and subcritical glenoid bone defects, comparing repeated Bankart repair versus arthroscopic Latarjet technique. Read More

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Surgical Management of Superior Labral Tears in Athletes: Focus on Biceps Tenodesis.

Open Access J Sports Med 2021 5;12:61-71. Epub 2021 May 5.

Department of Orthopaedic Surgery, University of Utah Health, Salt Lake City, UT, USA.

Superior labrum anterior-posterior (SLAP) lesions are common in overhead athletes. Though some patients have asymptomatic lesions, many tears cause pain and diminished athletic performance. Accurate diagnosis of SLAP lesions can be challenging as the sensitivity and specificity of both the physical exam and advanced imaging is questionable. Read More

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Double bucket handle tear of the superior labrum in a young patient presented with shoulder instability treated with arthroscopic debridement: A case report.

Int J Surg Case Rep 2021 May 30;82:105939. Epub 2021 Apr 30.

King Khaled University Hospital, Riyadh, Saudi Arabia.

Introduction And Importance: The two major etiologies of shoulder superior labral tears anterior to posterior (SLAP) are traumatic and degenerative processes. Bucket handle tears of the superior labrum represent one-third of labral lesions. However, in this article, we present a double bucket handle tear which has been reported once in the literature. Read More

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Reliability of the classification of cartilage and labral injuries during hip arthroscopy.

J Hip Preserv Surg 2020 Aug 6;7(3):448-457. Epub 2021 Mar 6.

Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.

To determine interobserver and intraobserver reliabilities of the combination of classification systems, including the Beck and acetabular labral articular disruption (ALAD) systems for transition zone cartilage, the Outerbridge system for acetabular and femoral head cartilage, and the Beck system for labral tears. Additionally, we sought to determine interobserver and intraobserver agreements in the location of injury to labrum and cartilage. Three fellowship trained surgeons reviewed 30 standardized videos of the central compartment with one surgeon re-evaluating the videos. Read More

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The Correlation of the SLAP II Lesion Findings Between Physical Examination, Magnetic Resonance Imaging, and Arthroscopic Surgery.

Indian J Orthop 2021 Apr 15;55(2):443-448. Epub 2020 Jul 15.

Department of Orthopedics and Traumatology, Mengücek Gazi Training and Research Hospital, Erzincan, Turkey.

Objectives: The aim of this study is to demonstrate the importance of clinical diagnosis by comparing with preoperative physical examination and magnetic resonance imaging (MRI) images in patients who were arthroscopically diagnosed as having Superior Labrum Anterior-Posterior (SLAP) II lesions.

Materials And Methods: 134 patients, arthroscopically diagnosed as SLAP II, established the study group, and 200 patients who underwent shoulder arthroscopy for the other pathologies established the control group. Preoperative clinical examination of the patients, MRI findings, and the arthroscopic findings of the patients were recorded. Read More

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Anatomical relationships of the transmuscular portal to its surrounding structures in arthroscopic treatment of superior labrum anterior posterior lesions: A cadaveric study and preliminary report.

Acta Orthop Traumatol Turc 2021 Jan;55(1):38-41

Department of Orthopaedics and Traumatology, Yeditepe University, School of Medicine, İstanbul, Turkey.

Objective: This study aims to investigate the anatomical relationships of the transmuscular portal to its surrounding structures in arthroscopic treatment of superior labrum anterior posterior (SLAP) lesions in a human cadaveric model.

Methods: In this anatomic study, bilateral shoulder girdles of 12 adult formalin embalmed cadavers were used. All cadavers were male, and the mean age was 63. Read More

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January 2021

Understanding the physical examination of the shoulder: a narrative review.

Ann Palliat Med 2021 Feb 2;10(2):2293-2303. Epub 2021 Feb 2.

Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.

The shoulder joint is a ball and socket joint which provides an extensive range of motion. Shoulder pain and weakness are common complaints among patients, which can lead to disability and affect a person's ability to perform daily activities. Shoulder pain and weakness may be associated with shoulder conditions such as rotator cuff disorders adhesive capsulitis, superior labrum anterior to posterior lesions, lesions in the biceps, acromioclavicular joint disease, or instability. Read More

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February 2021

Rotator Cuff Repair Improves Clinical Function and Stability in Patients Older Than 50 Years With Anterior Shoulder Dislocations and Massive Rotator Cuff Tears.

Orthop J Sports Med 2020 Dec 16;8(12):2325967120969213. Epub 2020 Dec 16.

Zhejiang Taizhou Hospital, Taizhou, China.

Background: Older patients with shoulder instability have a higher prevalence of rotator cuff tears and anterior capsular lesions. Simultaneous rotator cuff repair and labral repair are commonly performed to improve shoulder stability and function.

Purpose: To investigate the clinical outcomes of arthroscopic rotator cuff repair for older patients with shoulder dislocations combined with massive rotator cuff tears and intact labral tissue. Read More

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December 2020

Arthroscopic labral repair with all-suture anchors: a magnetic resonance imaging retrospective study with a 2.5-year follow-up.

Med Glas (Zenica) 2021 02;18(1):192-195

Section of Orthopaedics and Traumatology, Department of Medicine, Surgery and Neurosciences, University of Siena, Siena, Italy.

Aim To evaluate radiological and clinical outcomes of a case series of patients affected by glenohumeral instability (Bankart lesion) or superior labrum tear from anterior to posterior (SLAP) lesions treated by arthroscopic repair using all-suture anchors. Methods Patients were operated by a single surgeon at a single Institution. Exclusion criteria were chondral lesions of the glenoid, rotator cuff lesions, previous surgery at the index shoulder, or a bony Bankart lesion. Read More

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February 2021

There is a correlation between histopathological findings of joint capsule and synovium, and postoperative clinical outcomes and treatment in patients with isolated type II superior labrum anterior posterior lesions.

Jt Dis Relat Surg 2020 ;31(3):440-448

SBÜ Ankara Şehir Hastanesi Ortopedi ve Travmatoloji Kliniği, 06800 Çankaya, Ankara, Türkiye.

Objectives: This study aims to histologically examine the joint capsule and synovium to determine the correlation between histopathological findings and postoperative clinical outcomes in patients with isolated type II superior labrum anterior posterior (SLAP) lesions.

Patients And Methods: Thirty-eight patients (24 males, 14 females; mean age 53.2±6. Read More

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February 2021

Shoulder biomechanics in normal and selected pathological conditions.

EFORT Open Rev 2020 Aug 10;5(8):508-518. Epub 2020 Sep 10.

Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland.

The stability of the glenohumeral joint depends on soft tissue stabilizers, bone morphology and dynamic stabilizers such as the rotator cuff and long head of the biceps tendon. Shoulder stabilization techniques include anatomic procedures such as repair of the labrum or restoration of bone loss, but also non-anatomic options such as remplissage or tendon transfers.Rotator cuff repair should restore the cuff anatomy, reattach the rotator cable and respect the coracoacromial arch whenever possible. Read More

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The Buford complex: prevalence and relationship with labral pathologies.

J Shoulder Elbow Surg 2021 Jun 16;30(6):1356-1361. Epub 2020 Sep 16.

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

Background: This study aimed to determine the prevalence of the Buford complex and to investigate its association with labral pathologies (superior labrum anterior-posterior [SLAP] lesion and anterior, posterior, or multidirectional instability) using a very large patient database. Furthermore, the prevalence of the Buford complex in patients without any labral pathology was also determined.

Methods: A total of 3129 consecutive shoulder arthroscopy procedures were retrospectively evaluated for the presence of the Buford complex and coexisting labral pathologies. Read More

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Intra-articular arthroscopic biceps tenodesis with interference screw: clinical and isokinetic evaluation.

JSES Int 2020 Sep 31;4(3):632-637. Epub 2020 May 31.

Department of Orthopaedics, National Institute of Trauma and Orthopedics, Rio de Janeiro, Brazil.

Background: Although biceps tenodesis has been widely used to treat its pathologies, few studies looked at the objective evaluation of elbow strength after this procedure. The purpose of this study is to clinically evaluate patients submitted to long head of the biceps (LHB) tenodesis with interference screws through an intra-articular approach and analyze the results of an isokinetic test to measure elbow flexion and forearm supination strengths.

Methods: Patients who had biceps tenodesis were included in the study if they had a minimum follow-up of 24 months. Read More

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September 2020

Comparison between SLAP Repair and Biceps Tenodesis with Concomitant Rotator Cuff Repair in Patients Older than 45 Years: Minimum 2-Year Clinical and Imaging Outcomes.

Clin Orthop Surg 2020 Sep 21;12(3):364-370. Epub 2020 Jul 21.

Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Backgroud: There is controversy over how to surgically treat symptomatic superior labrum anterior to posterior (SLAP) tears in middle-aged patients with concomitant rotator cuff tears. The aim of the study was to compare the clinical and imaging outcomes of SLAP repair versus biceps tenodesis (BT) each combined with arthroscopic rotator cuff repair (ARCR).

Methods: We retrospectively reviewed 35 patients older than 45 years who underwent arthroscopic surgery to manage concomitant SLAP tears and rotator cuff tears. Read More

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September 2020

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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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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November 2020

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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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 2021 Jan 6;29(1):257-265. 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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January 2021

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

Eur Radiol Exp 2020 02 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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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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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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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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December 2020

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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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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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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December 2019