432 results match your criteria Superior Labrum Lesions


Ability to Retension Knotless Suture Anchors: A Biomechanical Analysis of Simulated Bankart Lesions.

Orthop J Sports Med 2022 Jun 16;10(6):23259671221098726. Epub 2022 Jun 16.

Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut, USA.

Background: Knotless suture anchors are gaining popularity in arthroscopic glenohumeral labral repairs. The ability to retension knotless designs after initial anchor placement has been reported; however, no studies have quantified this claim or investigated the biomechanical consequence of retensioning.

Purpose/hypothesis: To determine whether knotless and knotted suture anchors have biomechanical or anatomic differences with regard to labral repairs and to determine whether retensioning of knotless suture anchors affects capsular tension, labral height, and capsular shift. Read More

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Arthroscopic Modified Double-Row Biceps Tenodesis versus Labral Repair for the Treatment of Isolated Type II SLAP Lesions in Non-Overhead Athletes.

Orthop Surg 2022 May 27. Epub 2022 May 27.

Shanghai Tenth People's Hospital Affiliated to Tongji University School of Medicine, Shanghai, China.

Objective: To evaluate the postoperative efficacy and the clinical outcomes of arthroscopic modified double-row biceps tenodesis versus labral repair.

Methods: A retrospective study was conducted in 56 patients with isolated type II superior labrum anterior and posterior (SLAP) lesions from March 2015 to November 2018. Thirty patients (male:female = 17:13) were treated with labral repair, and 26 patients (male:female = 15:11) were treated with modified double-row biceps tenodesis. Read More

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Midterm Outcomes After Arthroscopic Repair of Type VIII SLAP Lesions in Active Duty Military Patients Younger Than 35 Years.

Orthop J Sports Med 2022 May 12;10(5):23259671221095908. Epub 2022 May 12.

Department of Orthopaedic Surgery, Carthage Area Hospital, Carthage, New York, USA.

Background: Superior labrum from anterior to posterior (SLAP) lesions represent a significant cause of shoulder pain and disability among active duty members of the US military. However, few data exist regarding the surgical management of type VIII SLAP lesions.

Hypothesis: We hypothesized that arthroscopic repair would decrease pain and increase function at the midterm follow-up and allow for a high rate of maintenance of active duty status. Read More

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The Painful Anterior Apprehension Test - an Indication of Occult Shoulder Instability.

Malays Orthop J 2022 Mar;16(1):97-102

Department of Orthopaedic Surgery, National University Health System, Singapore.

Introduction: To evaluate the clinical relevance of the painful anterior apprehension test in shoulder instability.

Materials And Methods: We performed a retrospective study of 155 patients that underwent arthroscopic anterior Bankart repair between 2014-2016. Exclusion criteria were previous ipsilateral shoulder surgery, bony Bankart lesions, glenohumeral osteoarthritis and concomitant surgery involving rotator cuff tears, biceps tendon pathology and superior labrum from anterior to posterior (SLAP) lesions. Read More

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Single-Portal Proximal Biceps Tenodesis Using an All-Suture Anchor.

Arthrosc Tech 2022 Apr 16;11(4):e497-e503. Epub 2022 Mar 16.

Orthopedic Practice Clinic (OPPK), Münster.

The long head of the biceps is an important pain generator of the shoulder joint. Pathologies of the long head of the biceps involve superior labrum anterior to posterior lesions, pulley lesions, partial tears of the biceps tendon, biceps tendonitis, and medial biceps subluxation caused by full-thickness subscapularis tendon tears. Treatment of an inflamed or injured long head of the biceps by either tenotomy or tenodesis is often mandatory during shoulder arthroscopy to avoid persisting pain and possible revision procedures. Read More

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Superior labral anterior and posterior (SLAP) lesions of the long bicep insertion on the glenoid: management in athletes.

Int Orthop 2022 Jun 28;46(6):1351-1360. Epub 2022 Mar 28.

Orthopaedic and Traumatology Department, Hospital Militar Central, Cir My "Cosme Argerich", Buenos Aires, Argentina.

Introduction: SLAP injuries are common in athletes but there is no consensus on different aspects such as pathophysiology and treatment options. Currently, the main controversy in the treatment of SLAP II injuries is deciding whether to make a repair or tenodesis. Clinical outcomes have varied according to the patients' age, sports, or work activity. Read More

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MR arthrography: correlation between anatomic intraarticular variants of the long head of the biceps tendon (long head biceps tendon) and superior labral anterior to posterior (SLAP) lesions.

J Orthop Traumatol 2022 Mar 8;23(1):13. Epub 2022 Mar 8.

Department of Diagnostic and Interventional Radiology, University of Insubria, Varese, Italy.

Background: The purpose of this work is to characterize the anatomy of the intraarticular portion of the long head of the biceps tendon (long head biceps tendon) using magnetic resonance (MR) arthrography by investigating whether anatomical variants may facilitate the onset of a supraequatorial lesion (superior labral anterior to posterior, SLAP).

Materials And Methods: In 482 shoulder MR arthrographies, we considered the anatomical variants of the intraarticular portion of the long head of the biceps tendon classified according to Dierickx's arthroscopic classification; lesions of supraequatorial structures were considered in the data analysis. For each anatomical variant, correlation with SLAP and the odd ratio were statistically evaluated, using Fisher's exact (or chi-squared) test and logistic regression analysis, respectively. Read More

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Risk factors for recurrence after Bankart repair: a systematic review and meta-analysis.

J Orthop Surg Res 2022 Feb 20;17(1):113. Epub 2022 Feb 20.

Department of Orthopaedics, Lanzhou University Second Hospital, No. 82 Cuiyingmen, Chengguan District, Lanzhou, 730030, Gansu, China.

Background: The aim of this literature review was to identify preoperative risk factors associated with recurrent instability after Bankart repair.

Methods: The PubMed, Web of Science, Embase, and Cochrane Library databases were searched for potentially eligible articles. Two reviewers independently screened the titles and abstracts using prespecified criteria. Read More

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February 2022

Editorial Commentary: Subpectoral Biceps Tenodesis Is a Safe Alternative to Arthroscopic Repair for Unstable SLAP Tear in the Young Athlete: Should We Do the Last Operation First?

Authors:
Brian R Waterman

Arthroscopy 2022 02;38(2):313-314

The clinical significance of structural pathology affecting the biceps-superior labrum complex may be highly variable. Among younger, physically active patients with symptomatic superior labrum anterior-posterior (SLAP) tears that have failed to respond to nonoperative treatment, we continue to lack clear high-level evidence to guide surgical decision making, including a decision between arthroscopic SLAP repair or primary biceps tenodesis for more unstable, type II lesions. Rates of patient satisfaction, return to play, return to prior level of activity, and secondary revision rate are widely reported, and we lack consensus for surgical best practice treatment. Read More

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February 2022

Management of proximal biceps tendon pathology.

World J Orthop 2022 Jan 18;13(1):36-57. Epub 2022 Jan 18.

USC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA 90033, United States.

The long head of the biceps tendon is widely recognized as an important pain generator, especially in anterior shoulder pain and dysfunction with athletes and working individuals. The purpose of this review is to provide a current understanding of the long head of the biceps tendon anatomy and its surrounding structures, function, and relevant clinical information such as evaluation, treatment options, and complications in hopes of helping orthopaedic surgeons counsel their patients. An understanding of the long head of the biceps tendon anatomy and its surrounding structures is helpful to determine normal function as well as pathologic injuries that stem proximally. Read More

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January 2022

An assessment of SLAP type 5 lesions using proton density oblique sagittal imaging in magnetic resonance arthrography.

Acta Radiol 2021 Dec 10:2841851211064594. Epub 2021 Dec 10.

Department of Radiology, 37523Bursa Uludag University, School of Medicine, Bursa, Turkey.

Background: Bankart lesions accompany superior labrum anteroposterior (SLAP) lesions; these are called SLAP type 5.

Purpose: To compare SLAP type 5 lesions using routine magnetic resonance arthrography (MRA) and thin-slice oblique sagittal proton density (PDW) sequences and correlation operation results.

Material And Methods: In total, 181 patients were admitted with shoulder instability. Read More

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December 2021

Arthroscopic evaluation of failed primary type II SLAP lesion repair in patients with high physical activity over 40 years of age and the outcomes of tenotomy.

Jt Dis Relat Surg 2021 19;32(3):649-657. Epub 2021 Nov 19.

Adnan Menderes Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 09010 Efeler, Aydın, Türkiye.

Objectives: In this study, we aimed to examine patients over 40 years of age who underwent failed primary isolated type 2 superior labrum anterior posterior (SLAP) repair arthroscopically and to evaluate the outcomes of tenotomy.

Patients And Methods: Between March 2011 and December 2019, a total of 32 patients (19 males, 13 females; median age: 55.1 years; range, 41 to 59 years) who underwent primary repair for SLAP due to high activity levels and in whom the treatment failed were retrospectively analyzed. Read More

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November 2021

Trans-cuff portals heal by 6 weeks: an ultrasonography-based study.

JSES Int 2021 Nov 14;5(6):1072-1076. Epub 2021 Sep 14.

Bangalore Shoulder Institute, Bangalore, Karnataka, India.

Background: Various arthroscopic portals have been described for repair of superior labrum anterior-posterior (SLAP) lesions. The difficulty in doing repair through the rotator interval and the problems in direction and placement of anchors still persist. Functional outcomes of the patients after treating them using trans-cuff portal are well established in literature, but the actual healing of the portal is not clear. Read More

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November 2021

Arthroscopic Labral Repair Using Knotless Suture Anchors in the Setting of a 270° Labral Tear of the Shoulder.

Arthrosc Tech 2021 Oct 21;10(10):e2319-e2324. Epub 2021 Sep 21.

Steadman Philippon Research Institute, Vail, Colorado, United States.

Extensive glenoid labral tears, whether the result of repetitive instability or first-time dislocation, compromise the mechanical stability of the glenohumeral joint due to disruption of the anterior, inferior, posterior, and/or superior portions of the labrum. These lesions often result in recurrent multiplanar instability and pain that is nonresponsive to conservative management and difficult to diagnose due to variability in clinical presentation and advanced imaging findings. Arthroscopic repair techniques to address symptomatic shoulder instability have showed positive patient-reported outcomes, low failure rates, and high return-to-sport rates. Read More

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October 2021

Athletes with primary glenohumeral instability demonstrate lower rates of bone loss than those with recurrent instability and failed prior stabilization.

J Shoulder Elbow Surg 2022 Apr 20;31(4):813-818. Epub 2021 Oct 20.

Sports Surgery Clinic, Dublin, Ireland.

Background: The purpose of this study was to compare the preoperative magnetic resonance arthrography findings in patients who underwent glenohumeral stabilization with a history of primary instability, recurrent instability, or failed stabilization.

Methods: All patients who presented with glenohumeral instability and underwent stabilization performed by a single surgeon in our institution between 2008 and 2020 were considered for inclusion in this study. The magnetic resonance arthrography findings of all patients were recorded. Read More

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The middle glenohumeral ligament: a classification based on arthroscopic evaluation.

J Shoulder Elbow Surg 2022 Mar 30;31(3):e85-e91. Epub 2021 Aug 30.

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

Background: Although middle glenohumeral ligament (MGHL) variations have been shown in the literature, their clinical effect and relationship with intra-articular pathologies have yet to be revealed, except for the Buford complex. This study was designed to classify MGHL and to reveal its relationship with clinical pathologies.

Methods: A total of 843 consecutive shoulder arthroscopies were evaluated retrospectively, and a classification system was proposed for MGHL with regard to its structure and its relation to the anterior labrum. Read More

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Arthroscopic repair of inferior glenoid labrum tears (Down Under lesions) produces similar outcomes to other glenoid tears.

Knee Surg Sports Traumatol Arthrosc 2021 Dec 29;29(12):4015-4021. Epub 2021 Aug 29.

Barwon Centre for Orthopaedic Research and Education (B-CORE), St John of God Hospital Geelong and Barwon Health, Myers Street, Geelong, VIC, 3227, Australia.

Purpose: Inferior glenoid labral tears are an uncommon but distinct shoulder injury. Only a small number of studies have reported outcomes following arthroscopic repair. The aim of the current study was to report minimum 2-year outcomes following inferior labral repair and to compare outcomes and risk factors associated with the injury to non-inferior labral tears. Read More

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December 2021

SLAP tears and return to sport and work: current concepts.

J ISAKOS 2021 07 11;6(4):204-211. Epub 2021 Mar 11.

Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut, USA.

Superior labrum, anterior and posterior (SLAP) lesions are common and identified in up to 26% of shoulder arthroscopies, with the greatest risk factor appearing to be overhead sporting activities. Symptomatic patients are treated with physical therapy and activity modification. However, after the failure of non-operative measures or when activity modification is precluded by athletic demands, SLAP tears have been managed with debridement, repair, biceps tenodesis or biceps tenotomy. Read More

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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 Aug 7;29(8):2656-2664. 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 Dec 19;30(12):2762-2766. Epub 2021 May 19.

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 [superior labrum anterior and posterior]) with multiple subtypes. 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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December 2021

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