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SLAP Lesions

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https://www.readbyqxmd.com/read/28899638/subpectoral-biceps-tenodesis-for-treatment-of-isolated-type-ii-slap-lesions-in-a-young-and-active-population
#1
Jonas Pogorzelski, Marilee P Horan, Zaamin B Hussain, Alexander Vap, Erik M Fritz, Peter J Millett
PURPOSE: The purpose of this study was to evaluate outcomes following open subpectoral biceps tenodesis for the treatment of isolated type II SLAP lesions in patients 45 years of age or younger and evaluate the rate of return to sport. METHODS: All patients included in the study were at least 2 years out from open subpectoral biceps tenodesis for treatment of an isolated type II SLAP lesion and were treated between December 2007 and March 2015. All patients older than 45, those who had prior surgery on the index shoulder, and those who had any concomitant reconstructive shoulder procedures were excluded...
September 9, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28861201/arthroscopic-evaluation-of-subluxation-of-the-long-head-of-the-biceps-tendon-and-its-relationship-with-subscapularis-tears
#2
Kyoung-Hwan Koh, Su Cheol Kim, Jae Chul Yoo
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...
September 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28851262/a-technique-for-an-arthroscopic-proximal-biceps-tenodesis-using-a-fork-anchor
#3
Nirav H Amin, Alexander Volpi, Matthew Simons, Gavin Mills, Stephen Silver
Pathology to the proximal biceps tendon has the potential to be a major source of pain in the shoulder, secondary to complex superior labrum from anterior to posterior (SLAP) lesions, partial biceps tears, and subluxations. In order to restore function and improve the patient's quality of life, repair of these injuries is crucial. Tenodesis has long been the ideal treatment of persistent pain caused by pathology of the proximal biceps tendon. A biceps tenodesis helps prevent biceps pain and cramping during movement and avoids the cosmetic deformity associated with a biceps tenotomy...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28794582/what-are-the-anatomical-predictive-factors-of-degenerative-superior-labrum-anterior-to-posterior-lesion-in-rotator-cuff-tear
#4
Joong-Bae Seo, Jae-Sung Yoo, Joon-Yeul Lee, Kyoo-Hong Han
The purpose of this study was to evaluate the influence of anatomical factors degenerative superior labrum anterior to posterior lesion in rotator cuff tear. The study included 421 middle-aged patients treated using arthroscopic surgery for rotator cuff tears. Patients were divided into two groups based on the superior labrum anterior-to-posterior (SLAP). Glenoid inclination, glenoid length, humeral head diameter, acromio-humeral distance (AHD) head-glenoid difference (HGD), head glenoid angle (HGA), size and retraction of rotator cuff tears were evaluated in both groups...
December 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28777213/glenohumeral-instability-related-to-special-conditions-slap-tears-pan-labral-tears-and-multidirectional-instability
#5
Gregory S Van Blarcum, Steven J Svoboda
Glenohumeral instability is one of the more common conditions seen by sports medicine physicians, especially in young, active athletes. The associated anatomy of the glenohumeral joint (the shallow nature of the glenoid and the increased motion it allows) make the shoulder more prone to instability events as compared with other joints. Although traumatic dislocations or instability events associated with acute labral tears (ie, Bankart lesions) are well described in the literature, there exists other special shoulder conditions that are also associated with shoulder instability: superior labrum anterior/posterior (SLAP) tears, pan-labral tears, and multidirectional instability...
September 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/28768619/lessons-to-be-learnt-from-the-study-sham-surgery-versus-labral-repair-or-biceps-tenodesis-for-type-ii-slap-lesions-of-the-shoulder-a-three-armed-randomised-clinical-trial
#6
EDITORIAL
Ann M Cools, Dorien Borms
No abstract text is available yet for this article.
August 2, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28749175/direct-shoulder-magnetic-resonance-arthrography-for-superior-labral-anterior-to-posterior-slap-and-bankart-lesions-investigation-into-the-appropriate-dose-and-level-of-local-anesthesia
#7
Sun Hwa Lee, Seong Jong Yun, Hyeon Hwan Jo, Dong Hyeon Kim, Jae Gwang Song, Yong Sung Park
OBJECTIVES: To compare contrast leakage, pain score, image quality, and diagnostic performance at different doses and levels of local anesthesia for direct shoulder magnetic resonance arthrography (MRA). METHODS: Patients (n=157) were prospectively enrolled and allocated to group 1 (no local anesthetic), group 2 (local anesthesia to subcutaneous fat level; lidocaine 1-2 mL), group 3 (to deltoid muscle level; 3-5 mL), or group 4 (to subscapularis muscle level; 6-8 mL)...
July 27, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28696789/arthroscopic-knot-removal-for-failed-superior-labrum-anterior-posterior-repair-secondary-to-knot-induced-pain
#8
Jung Gwan Park, Nam Su Cho, Jung Youn Kim, Jong Hoon Song, Se Jung Hong, Yong Girl Rhee
BACKGROUND: Studies on failed superior labrum anterior-posterior (SLAP) repair are increasing. However, the number of reports on treatment options for failed SLAP repair remains quite low, and the clinical results vary between different study groups. PURPOSE: To describe the clinical presentation of failed SLAP repair due to knot-induced pain and evaluate the efficacy of arthroscopic knot removal. STUDY DESIGN: Case series; Level of evidence, 4...
September 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28675978/concomitant-slap-repair-does-not-influence-the-surgical-outcome-for-arthroscopic-bankart-repair-of-traumatic-shoulder-dislocations
#9
Nuri Aydin, Mehmet Bekir Unal, Mustafa Asansu, Okan Tok
BACKGROUND: Prior studies revealed the presence of superior labrum anterior-to-posterior (SLAP) injury together with Bankart lesions in some patients. The purpose of the study is to compare the clinical results of isolated Bankart repairs with the clinical results of Bankart repairs when performed with concomitant SLAP repairs. METHODS: The patients who underwent arthroscopic surgery for treatment of anterior glenohumeral instability were evaluated retrospectively...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28610563/progression-of-function-and-pain-relief-as-indicators-for-returning-to-sports-after-arthroscopic-isolated-type-ii-slap-repair-a-prospective-study
#10
Sandra Boesmueller, Thomas M Tiefenboeck, Marcus Hofbauer, Adam Bukaty, Gerhard Oberleitner, Wolfgang Huf, Christian Fialka
BACKGROUND: One of the currently used surgical techniques in isolated type II SLAP lesions is arthroscopic SLAP repair. Postoperatively, patients tend to suffer from a prolonged period of pain and are restricted in their sports activities for at least 6 months. The aim of this study was to prospectively evaluate the clinical outcome as well as the postoperative course of pain after arthroscopic type II SLAP repair. METHODS: Outcome measures were assessed using the Individual Relative Constant Score (CSindiv), the American Shoulder and Elbow Surgeons (ASES) Score, the Visual Analogue Scale (VAS), and the Short Form 36 (SF-36)...
June 13, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28594489/diagnosis-and-management-of-the-biceps-labral-complex
#11
Robert J Thorsness, Anthony A Romeo
The long head of the biceps tendon (LHBT) is a common source of pathology. The biceps-labral complex (BLC) is the collective anatomic and clinical features shared by the biceps tendon and the superior labrum. LHBT pathology can be caused by inflammation, instability, or trauma. Numerous tests can be performed to determine the existence of biceps tendon and superior labrum anterior to posterior (SLAP) lesions; however, many of these tests do not have high sensitivity and specificity, which limit their clinical utility...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28555366/pulley-lesions-in-rotator-cuff-tears-prevalence-etiology-and-concomitant-pathologies
#12
Nael Hawi, Emmanouil Liodakis, Christina Garving, Peter Habermeyer, Mark Tauber
PURPOSE: This study aimed to demonstrate the prevalence of lesions in the biceps pulley complex in a representative, consecutive series of rotator cuff tears and rotator cuff interval treatments. We also analyzed associated tear pattern of rotator cuff injuries and superior labrum anterior-posterior (SLAP) lesions. We evaluated the relationships of these lesions to traumatic genesis and the prevalence of pulley lesions in revision cases. METHODS: This retrospective study analyzed all pre- and intra-operative documentation on arthroscopic rotator cuff reconstructions and isolated pulley lesion treatments performed by a single surgeon over 2 consecutive years...
May 29, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28495804/sham-surgery-versus-labral-repair-or-biceps-tenodesis-for-type-ii-slap-lesions-of-the-shoulder-a-three-armed-randomised-clinical-trial
#13
Cecilie Piene Schrøder, Øystein Skare, Olav Reikerås, Petter Mowinckel, Jens Ivar Brox
BACKGROUND: Labral repair and biceps tenodesis are routine operations for superior labrum anterior posterior (SLAP) lesion of the shoulder, but evidence of their efficacy is lacking. We evaluated the effect of labral repair, biceps tenodesis and sham surgery on SLAP lesions. METHODS: A double-blind, sham-controlled trial was conducted with 118 surgical candidates (mean age 40 years), with patient history, clinical symptoms and MRI arthrography indicating an isolated type II SLAP lesion...
May 11, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28451607/outcomes-after-arthroscopic-bankart-repair-in-adolescent-athletes-participating-in-collision-and-contact-sports
#14
Michael G Saper, Charles Milchteim, Robert L Zondervan, James R Andrews, Roger V Ostrander
BACKGROUND: Literature on arthroscopic stabilization in adolescent patients participating in collision and contact sports is limited, as most studies include adolescents within a larger sample group comprised primarily of adults. PURPOSE: To review the outcomes of arthroscopic Bankart repair for anterior shoulder instability in an adolescent population participating in collision and contact sports. STUDY DESIGN: Case series; Level of evidence, 4...
March 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28409136/functional-outcome-after-arthroscopic-repair-of-triple-shoulder-instability
#15
Glaydson Gomes Godinho, Flávio de Oliveira França, José Márcio Alves Freitas, Lander Braga Calais Correia Pinto, Carolina Lima Simionatto, Pedro Paulo Gomes Viana Filho
OBJECTIVE: To evaluate the functional outcomes of patients submitted to arthroscopic repair of triple labral lesion. METHODS: This was an analytical retrospective study of patients who underwent arthroscopic treatment of triple labral lesion from March 2005 to December 2014. Patients with at least one year of postoperative follow-up were included. A total of nine patients were evaluated. The mean age was 32.3 years and the dominant side was affected in five patients...
March 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28400880/arthroscopic-findings-in-anterior-shoulder-instability
#16
REVIEW
Michael Hantes, Vasilios Raoulis
BACKGROUND: In the last years, basic research and arthroscopic surgery, have improved our understanding of shoulder anatomy and pathology. It is a fact that arthroscopic treatment of shoulder instability has evolved considerably over the past decades. The aim of this paper is to present the variety of pathologies that should be identified and treated during shoulder arthroscopy when dealing with anterior shoulder instability cases. METHODS: A review of the current literature regarding arthroscopic shoulder anatomy, anatomic variants, and arthroscopic findings in anterior shoulder instability, is presented...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28298065/clinical-assessment-of-the-dynamic-labral-shear-test-for-superior-labrum-anterior-and-posterior-lesions
#17
Sonal Sodha, Uma Srikumaran, Kyubo Choi, Amrut U Borade, Edward G McFarland
BACKGROUND: Diagnosing superior labrum anterior and posterior (SLAP) lesions through physical examination remains challenging. The dynamic labral shear test (DLST) has been shown to have likelihood ratios (LRs) of 31.6 and 1.1 for diagnosing SLAP lesions. PURPOSE: To determine the clinical utility of the DLST for diagnosing SLAP lesions. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2. METHODS: This prospective, consecutive case series included 774 patients who underwent diagnostic arthroscopy and a preoperative DLST between 2007 and 2013...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28194380/magnetic-resonance-imaging-without-contrast-as-a-diagnostic-method-for-partial-injury-of-the-long-head-of-the-biceps-tendon
#18
Alexandre Tadeu do Nascimento, Gustavo Kogake Claudio
OBJECTIVE: To evaluate the use of magnetic resonance imaging (MRI) without contrast as a diagnostic method of partial lesions of the long head of the biceps, using arthroscopic surgery as the gold standard. METHODS: We evaluated data from MRI and arthroscopic surgical findings of patients operated due to rotator cuff and SLAP injuries. MRI without contrast of at least 1.5 T, with a radiologist report, was used as a criterion for the detection of long head of the biceps injury...
January 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28185130/frequency-of-shoulder-corticosteroid-injections-for-pain-and-stiffness-after-shoulder-surgery-and-their-potential-to-enhance-outcomes-with-physiotherapy-a-retrospective-study
#19
John G Skedros, Micheal G Adondakis, Alex N Knight, Michael B Pilkington
INTRODUCTION: What is the rate of injecting patients with shoulder corticosteroid injections to alleviate excessive stiffness and pain within 6 months after shoulder surgery? METHODS: Retrospective 10-year review of a shoulder surgeon's practice. Participants included 754 patients who had 945 non-arthroplasty shoulder surgeries. Outcome measures included the rate of injections, diagnoses, patient characteristics, and efficacy via questionnaire. RESULTS: Approximately one in five patients received a subacromial and/or glenohumeral corticosteroid injection...
June 2017: Pain and Therapy
https://www.readbyqxmd.com/read/28131680/the-chondral-print-sign-what-does-it-really-mean
#20
Peter Domos, Devdatta S Neogi, Umile Giuseppe Longo, Philip M Ahrens
BACKGROUND: The chondral print (CP) sign is a chondral change on the humeral head underneath the long head of the biceps (LHB) tendon. Several suggested causative links have been described, but the pathologic mechanism remains unclear. METHODS: We designed this prospective cohort association study of 102 consecutive shoulder arthroscopies to investigate proposed associations of CP with LHB, rotator cuff, labral pathology, and other chondral lesions. Data collection was by a specifically designed pro forma, and statistical analysis was performed...
January 25, 2017: Journal of Shoulder and Elbow Surgery
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