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https://www.readbyqxmd.com/read/28777213/glenohumeral-instability-related-to-special-conditions-slap-tears-pan-labral-tears-and-multidirectional-instability
#1
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
#2
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/28696789/arthroscopic-knot-removal-for-failed-superior-labrum-anterior-posterior-repair-secondary-to-knot-induced-pain
#3
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...
July 1, 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
#4
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
#5
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
#6
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/28495804/sham-surgery-versus-labral-repair-or-biceps-tenodesis-for-type-ii-slap-lesions-of-the-shoulder-a-three-armed-randomised-clinical-trial
#7
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
#8
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
#9
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/28282498/risk-factors-for-revision-surgery-after-superior-labral-anterior-posterior-repair-a-national-perspective
#10
Samuel A Taylor, Ryan M Degen, Alexander E White, Moira M McCarthy, Lawrence V Gulotta, Stephen J O'Brien, Brian C Werner
BACKGROUND: Data regarding risk factors for revision surgery after superior labral anterior-posterior (SLAP) repair are limited to institutional series. PURPOSE: To define risk factors for revision surgery after SLAP repair among patients in a large national database. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: A national insurance database was queried for patients undergoing arthroscopic SLAP repair (Current Procedural Terminology [CPT] code 29807) for the diagnosis of a SLAP tear...
June 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28203588/return-to-play-and-prior-performance-in-major-league-baseball-pitchers-after-repair-of-superior-labral-anterior-posterior-tears
#11
Ryan Smith, Daniel J Lombardo, Graysen R Petersen-Fitts, Charles Frank, Troy Tenbrunsel, Gannon Curtis, James Whaley, Vani J Sabesan
BACKGROUND: The published return-to-play (RTP) rates for Major League Baseball (MLB) pitchers 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 surgical treatment for MLB players is largely unknown. PURPOSE: To examine the RTP rate and performance of MLB pitchers who have undergone SLAP tear repair between 2003 and 2010. STUDY DESIGN: Descriptive epidemiological study...
December 2016: Orthopaedic 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
#12
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/28098497/magnetic-resonance-arthrography-results-that-indicate-surgical-treatment-for-partial-articular-sided-supraspinatus-tendon-avulsion-a-retrospective-study-in-a-tertiary-center
#13
Seok Hahn, Young Han Lee, Yong-Min Chun, Eun Hae Park, Jin-Suck Suh
Background Specific findings on magnetic resonance arthrography (MRA) that indicate the need for surgery in patients with partial articular-sided supraspinatus tendon avulsion (PASTA) are not well understood. Purpose To determine which MRA findings are characteristic of patients who undergo surgery for PASTA. Material and Methods From July 2011 to February 2014, MRA findings for patients treated for PASTA were retrospectively reviewed. The patients were divided into two groups: conservative treatment and surgical repair...
September 2017: Acta Radiologica
https://www.readbyqxmd.com/read/27942510/is-clinical-evaluation-alone-sufficient-for-the-diagnosis-of-a-bankart-lesion-without-the-use-of-magnetic-resonance-imaging
#14
Bryan Loh, Jason Beng Teck Lim, Andrew Hwee Chye Tan
BACKGROUND: Imaging modalities such as magnetic resonance arthrogram (MRA) offer great utility in diagnosing Bankart lesions but they are associated with a high degree of intra and interobserver variability. This study aims to evaluate the diagnostic accuracy of clinical evaluation and imaging modalities in Bankart lesions such as magnetic resonance imaging (MRI) and MRA of the shoulder. METHODS: Between February 2004 to January 2015, a retrospectively review of the surgical records at a tertiary hospital identified a total of 250 patients treated with a shoulder arthroscopy for Bankart repair...
November 2016: Annals of Translational Medicine
https://www.readbyqxmd.com/read/27793805/superior-labrum-anterior-posterior-tears-in-the-national-football-league
#15
Caitlin C Chambers, T Sean Lynch, Daniel B Gibbs, Jason H Ghodasra, Shawn Sahota, Kristina Franke, Christina D Mack, Gordon W Nuber
BACKGROUND: Shoulder disorders are common in football players, with up to 50% of National Football League (NFL) recruits reporting a history of shoulder injuries. Superior labrum anterior-posterior (SLAP) tears are an entity with well-described detrimental effects on return to play in overhead-throwing athletes but with minimal data in contact athletes. PURPOSE: To identify the incidence, predisposing factors, and effect of SLAP tears in NFL athletes and prospects as well as the treatment patterns of NFL team physicians...
January 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27785555/clinical-and-radiologic-outcomes-of-arthroscopic-suture-bridge-repair-for-the-greater-tuberosity-fractures-of-the-proximal-humerus
#16
Jong-Hun Ji, Jae-Jung Jeong, Young-Yul Kim, Se-Won Lee, Do-Yeol Kim, Sang-Eun Park
PURPOSE: To report the clinical and radiological outcomes of arthroscopic suture bridge repair for the GT fractures of the shoulder joint. METHODS: From March 2008 to July 2013, we performed arthroscopic suture bridge repair of the GT fractures displaced more than 5 mm superiorly or posteriorly, but less than 2 cm in 40 cases [20 men, 20 women; mean age, 56 (27-80) years] with the average 32 (24-48) months follow-up. At the final follow-up, clinical (ASES, UCLA, SST, KSS score and range of motions) and radiological outcomes using post-operative MRI or CT scan were evaluated...
January 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27765830/superior-labral-anterior-posterior-slap-tears-in-the-military
#17
REVIEW
William Rossy, George Sanchez, Anthony Sanchez, Matthew T Provencher
CONTEXT: Given the notable physical demands placed on active members of the military, comprehension of recent trends in management and outcomes of superior labral anterior-posterior (SLAP) tears in this patient population is critical for successful treatment. EVIDENCE ACQUISITION: Electronic databases, including PubMed, MEDLINE, and Embase, were reviewed for the years 1985 through 2016. STUDY DESIGN: Database review. LEVEL OF EVIDENCE: Level 5...
November 2016: Sports Health
https://www.readbyqxmd.com/read/27697179/editorial-commentary-the-not-so-benign-nature-of-an-isolated-slap-repair
#18
EDITORIAL
Matthew T Provencher
Although superior labrum anterior posterior (SLAP) repairs have a relatively high success rate, emerging evidence suggests that this is not always the case. The authors of "Subsequent Shoulder Surgery Following Isolated Arthroscopic SLAP Repair" reveal that 1 in 10 people needed additional surgery within 3 years after SLAP repair-mainly for disorders of the rotator cuff, biceps, and distal clavicle. This underscores the fact that SLAP tears rarely occur in isolation and that the initial diagnosis and management may require more than just SLAP work...
October 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27543399/return-to-play-after-shoulder-surgery-in-throwers
#19
REVIEW
Robert Thorsness, Jeremy A Alland, Colin B McCulloch, Anthony Romeo
The throwing athlete's shoulder is a unique, complex entity with challenges in diagnosis and management. The shoulders in these athletes possess unique biomechanics and pathologic conditions. Unfortunately, return to play outcomes are often poor when specifically evaluating overhead athletes, especially with regard to SLAP repair. It is imperative for the surgeon to be cautious when indicating these athletes for surgery, because although they may demonstrate improvements in pain and general function, subtle changes in accuracy or velocity as a result of surgery can significantly affect the success of an overhead throwing athlete at the competitive level...
October 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27497788/variable-reporting-of-functional-outcomes-and-return-to-play-in-superior-labrum-anterior-and-posterior-tear
#20
REVIEW
Michael E Steinhaus, Eric C Makhni, Adam C Lieber, Cynthia A Kahlenberg, Lawrence V Gulotta, Anthony A Romeo, Nikhil N Verma
BACKGROUND: Outcomes assessments after superior labrum anterior and posterior (SLAP) tear/repair are highly varied, making it difficult to draw comparisons across the literature. This study examined the inconsistency in outcomes reporting in the SLAP tear literature. We hypothesize that there is significant variability in outcomes reporting and that although most studies may report return to play, time to return reporting will be highly variable. METHODS: The PubMed, Medline, Scopus, and Embase databases were systematically reviewed for studies from January 2000 to December 2014 reporting outcomes after SLAP tear/repair...
November 2016: Journal of Shoulder and Elbow Surgery
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