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SLAP AND rehabilitation

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https://www.readbyqxmd.com/read/29789946/outcome-of-arthroscopic-slap-repair-using-knot-tying-suture-anchors-compared-with-knotless-suture-anchors-in-athletes
#1
Y Reinig, F Welsch, R Hoffmann, D Müller, K F Schüttler, E Zimmermann, Thomas Stein
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)...
May 22, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29624450/national-athletic-trainers-association-position-statement-evaluation-management-and-outcomes-of-and-return-to-play-criteria-for-overhead-athletes-with-superior-labral-anterior-posterior-injuries
#2
Lori A Michener, Jeffrey S Abrams, Kellie C Huxel Bliven, Sue Falsone, Kevin G Laudner, Edward G McFarland, James E Tibone, Charles A Thigpen, Timothy L Uhl
OBJECTIVE:   To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries. BACKGROUND:   In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed based on a systematic review of the current evidence and the consensus of the writing panel. Clinicians can use these guidelines to inform decision making regarding the diagnosis, acute and long-term conservative and surgical treatment, and expected outcomes of and return-to-play guidelines for athletes with SLAP injuries...
March 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29502695/editorial-commentary-the-shoulder-biceps-tendon-and-baseball-continue-their-controversial-relationship
#3
EDITORIAL
Christopher S Ahmad
The optimal treatment of shoulder SLAP tears in high-level baseball players remains highly controversial. In pitchers, many SLAP lesions are found incidentally on magnetic resonance imaging and may in fact be adaptive to the baseball pitcher's mechanics of throwing. Surgical repair of SLAP lesions requires lengthy rehabilitation, and outcomes have been similar to or worse than the results after nonoperative treatment. The treatment option of biceps tenodesis is an appealing alternative to SLAP repair, but the indications and technique of biceps tenodesis in the elite pitcher still need to be defined...
March 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29344768/diagnosis-and-treatment-of-injuries-to-the-biceps-and-superior-labral-complex-in-overhead-athletes
#4
REVIEW
Jacob G Calcei, Venkat Boddapati, David W Altchek, Christopher L Camp, Joshua S Dines
PURPOSE OF REVIEW: This review discusses the diagnostic and treatment challenges presented by injuries to the biceps and superior labral complex. RECENT FINDINGS: A focused patient history, numerous physical examination maneuvers, and appropriate advanced imaging studies must be utilized to reach an accurate diagnosis. Nonoperative management, even in overhead athletes, has demonstrated relatively good outcomes, while operative outcomes have yielded mixed results...
March 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/27039686/editorial-commentary-on-kibler-sciascia-what-did-the-five-fingers-say-to-the-face-slap-a-systematic-review-wake-up-call-to-improve-slap-repair-guidelines
#5
EDITORIAL
Joshua D Harris
Both the quality and quantity of reporting in the SLAP repair literature, especially the surgical indications and technical intraoperative characteristics, leaves significant room for improvement. In their systematic review, Kibler and Sciascia identify this considerable underlying imprecision. Based on the current literature, no consensus exists for establishing any criteria for a successful SLAP repair--surgical indications, characteristics (type, location, number of anchors), completeness of repair, or rehabilitation...
April 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26945214/diagnosis-and-rehabilitation-of-a-middle-cuneiform-fracture-in-a-hockey-player
#6
Craig P Hensley, Douglas R Dirschl
Isolated cuneiform fractures are rare and are often missed on plain radiographs, leading to delayed diagnosis and delayed return to sport. The authors of this study present a 32-year-old male ice hockey player who sustained trauma to his dorsal midfoot from a slap shot. Radiographs were negative for fracture. After inability to wean out of the controlled ankle movement boot, magnetic resonance imaging was ordered, demonstrating a middle cuneiform fracture. The patient was seen in physical therapy, where aquatic therapy, strength training, and cardiovascular conditioning were progressed...
July 2016: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/26671775/predictive-factors-associated-with-failure-of-nonoperative-treatment-of-superior-labrum-anterior-posterior-tears
#7
Suk-Hwan Jang, Jeong-Gook Seo, Ho-Su Jang, Jae-Eun Jung, Jin-Goo Kim
BACKGROUND: Uncertainty remains in the natural course of superior labrum anterior-posterior (SLAP) tears treated conservatively with rehabilitation and activity modification. Our purpose was to evaluate clinical outcomes after nonoperative treatment of type II SLAP tear in young active patients and to identify factors related to negative outcomes. METHODS: We retrospectively reviewed 63 patients who initially underwent nonoperative treatment for isolated type II SLAP tear...
March 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/26665050/superior-labrum-anterior-posterior-lesions-and-associated-injuries-return-to-play-in-elite-athletes
#8
Tahsin Beyzadeoglu, Esra Circi
BACKGROUND: Superior labrum anterior posterior (SLAP) lesions often cause shoulder pain, dysfunction, and instability. Professional athletes require a high level of shoulder function for competition and overhead activities. PURPOSE: To evaluate elite athletes who had arthroscopic surgery for common shoulder pathologies and SLAP lesions with a follow-up of more than 3 years. The associated intra-articular pathologies and return to play were documented. STUDY DESIGN: Case series; Level of evidence, 4...
April 2015: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/26553961/current-practice-for-the-surgical-treatment-of-slap-lesions-a-systematic-review
#9
REVIEW
W Ben Kibler, Aaron Sciascia
PURPOSE: To analyze current literature reporting surgical treatment of SLAP lesions to examine the consistency of reported surgical details (surgical indications, surgical technique, and postoperative rehabilitation) that are deemed important for best treatment outcomes and to try to establish a consensus regarding treatment. METHODS: A systematic review of papers reporting surgical treatment of a SLAP lesion was performed. Each paper was analyzed for the description of (1) the arthroscopic indications for surgery; (2) surgical aspects including type, location, and number of anchors and sutures; (3) description of criteria for determination of completeness of the repair; and (4) postoperative rehabilitation details...
April 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/25895417/a-modern-day-solution-to-a-100-year-old-problem-the-use-of-a-bespoke-off-loading-brace-in-the-rehabilitation-of-deck-slap-and-other-high-energy-lower-limb-injuries
#10
M A Osborne, H L Jarvis, N Bennett, R D Phillip
'Deck-Slap' is an injury pattern first described at the Battle of Jutland; it is still relevant today, with anti-vehicle mines a significant threat to Coalition troops. The effect of a device exploding beneath a vehicle produces a wave of high energy that is rapidly transmitted through the steel floor; this causes significant axial loading of lower limbs often resulting in severe fractures (notably of the calcaneum). Recent advancements in orthopaedic surgery have allowed for limbs that were destined for immediate amputation following significant trauma to be salvaged...
2014: Journal of the Royal Naval Medical Service
https://www.readbyqxmd.com/read/25434329/the-arterial-supply-of-the-tendon-of-the-long-head-of-the-biceps-brachii-in-the-human-a-combined-anatomical-and-radiological-study
#11
Sandra Boesmueller, Christian Fialka, Michael L Pretterklieber
PURPOSE: Arthroscopic repair of superior labral anterior to posterior (SLAP) lesions is often associated with a prolonged period of pain during the rehabilitation process. This might possibly be due to hypoxia in the biceps tendon anchor caused by sutures. The purpose of the study was to investigate the arterial supply of the long head of the biceps brachii tendon (LHBT) that may be impaired by surgery in the region of the biceps tendon anchor. METHODS: On 20 human formalin-fixed bodies, the anterior circumflex humeral artery (ACHA) was located and followed into the intertubercular groove until it reached the LHBT...
December 2014: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
https://www.readbyqxmd.com/read/25318939/deficiencies-in-pitching-biomechanics-in-baseball-players-with-a-history-of-superior-labrum-anterior-posterior-repair
#12
Walter A Laughlin, Glenn S Fleisig, Anthony J Scillia, Kyle T Aune, E Lyle Cain, Jeffrey R Dugas
BACKGROUND: Baseball pitchers who undergo superior labrum anterior-posterior (SLAP) repair often have trouble returning to their previous level of performance. While the reason is often assumed to be diminished shoulder range of motion or other mechanical changes, differences in pitching biomechanics between baseball pitchers with a history of SLAP repair and pitchers with no injury history have not been studied previously. HYPOTHESIS: The primary hypothesis was that compared with the control group, the SLAP group would exhibit compromised shoulder range of motion (external rotation and horizontal abduction) and internal rotation torque during pitching...
December 2014: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25129864/preliminary-development-of-a-clinical-prediction-rule-for-treatment-of-patients-with-suspected-slap-tears
#13
COMPARATIVE STUDY
Stephanie D Moore-Reed, W Ben Kibler, Aaron D Sciascia, Tim Uhl
PURPOSE: To use the clinical prediction rule process to identify patient variables, measured on initial clinical presentation, that would be predictive of failure to achieve satisfactory improvement, while following a rehabilitation program, in the modification of SLAP injury symptoms and dysfunction. METHODS: A cohort of patients received the clinical diagnosis of a SLAP lesion based on specific history and examination findings and/or magnetic resonance imaging...
December 2014: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/24688280/bilateral-os-acromiale-in-a-division-i-basketball-player
#14
Christina D Davlin, Dave Fluker
An unfused acromial epiphysis, called os acromiale, can become unstable and mobile when the deltoid contracts. This may cause pain and lead to impingement syndrome and rotator cuff tearing. After sustaining a direct blow to the right shoulder, a male division I basketball player was diagnosed with impingement syndrome and an os acromiale. Following failed conservative treatment, the athlete underwent arthroscopic subacromial decompression & debridement of the loose os acromiale in the right shoulder. One year later, following a fall on the left shoulder, the athlete was diagnosed with os acromiale, impingement syndrome and a superior labrum anterior-posterior (SLAP) lesion...
December 2003: Journal of Sports Science & Medicine
https://www.readbyqxmd.com/read/24674945/return-to-play-after-treatment-of-superior-labral-tears-in-professional-baseball-players
#15
Wasyl W Fedoriw, Prem Ramkumar, Patrick C McCulloch, David M Lintner
BACKGROUND: The published return-to-play (RTP) rates for athletes who have undergone surgical repair of superior labrum anterior-posterior (SLAP) tears vary widely and are generally accepted to be lower in the subset of competitive throwers. The efficacy of nonsurgical treatment for this group is unknown. HYPOTHESIS: Nonsurgical treatment of SLAP tears in professional baseball players leads to RTP before consideration of surgical treatment. Incorporating performance statistics and level of competition will result in lower calculated RTP rates than have been previously reported...
May 2014: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/24658344/rehabilitation-exercises-for-athletes-with-biceps-disorders-and-slap-lesions-a-continuum-of-exercises-with-increasing-loads-on-the-biceps
#16
Ann M Cools, Dorien Borms, Simon Cottens, Marcia Himpe, Stijn Meersdom, Barbara Cagnie
BACKGROUND: Although rehabilitation exercises are recommended in the nonoperative and postoperative treatment of biceps-related disorders and superior labrum anterior-posterior (SLAP) lesions in overhead athletes, a progressive exercise protocol with controlled low to moderate loads on the biceps has not yet been described. PURPOSE: To describe a continuum of exercises with progressive low to moderate loads on the biceps based on electromyographic (EMG) analysis...
June 2014: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/24604157/-rehabilitation-concepts-and-return-to-sport-after-interventions-on-the-shoulder
#17
REVIEW
K E Dreinhöfer, S Schüler, M Schäfer, T Ohly
BACKGROUND: Rehabilitation of athletes following surgical interventions for shoulder injuries is of utmost importance for recovery and return to sport. OBJECTIVES: The aim was to determine adequate concepts for rehabilitation following shoulder surgery in athletes. METHODS: A selective literature search was carried out in PubMed and a review of the available concepts is given taking personal experiences as well as national and international recommendations into consideration...
March 2014: Der Orthopäde
https://www.readbyqxmd.com/read/24175139/the-recognition-and-treatment-of-superior-labral-slap-lesions-in-the-overhead-athlete
#18
Kevin E Wilk, Leonard C Macrina, E Lyle Cain, Jeffrey R Dugas, James R Andrews
UNLABELLED: The overhead athlete presents with a unique profile that may predispose them to specific pathology. Injury to the superior aspect of the glenoid labrum (SLAP lesions) poses a significant challenge to the rehabilitation specialist due to the complex nature and wide variety of etiological factors associated with these lesions. A thorough clinical evaluation and proper identification of the extent of labral injury is important in order to determine the most appropriate non-operative and/or surgical management...
October 2013: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/23738307/biceps-instability-and-slap-type-ii-tear-in-overhead-athletes
#19
Leonardo Osti, Francesco Soldati, Andrea Cheli, Carlotta Pari, Leo Massari, Nicola Maffulli
Type II lesions are common lesions encountered in overhead athletes with controversies arising in term of timing for treatment, surgical approach, rehabilitation and functional results. The aim of our study was to evaluate the outcomes of arthroscopic repair of type II SLAP tears in overhead athletes, focusing on the time elapsed from diagnosis and treatment, time needed to return to sport, rate of return to sport and to previous level of performance, providing an overview concerning evidence for the effectiveness of different surgical approaches to type II SLAP tears in overhead athletes...
October 2012: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/23276418/the-disabled-throwing-shoulder-spectrum-of-pathology-10-year-update
#20
W Ben Kibler, John E Kuhn, Kevin Wilk, Aaron Sciascia, Stephanie Moore, Kevin Laudner, Todd Ellenbecker, Chuck Thigpen, Tim Uhl
In the 10 years since the current concept series entitled "The Disabled Throwing Shoulder: Spectrum of Pathology" was conceived and written, many studies have been reported that add much more information to the understanding of the disabled throwing shoulder (DTS). The editors of Arthroscopy and the authors of the original series believed that an update to the original series would be beneficial to provide an organized overview of current knowledge that could update the thought process regarding this problem, provide better assessment and treatment guidelines, and guide further research...
January 2013: Arthroscopy: the Journal of Arthroscopic & related Surgery
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