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SLAP Surgery

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https://www.readbyqxmd.com/read/27904970/reliability-of-magnetic-resonance-imaging-versus-arthroscopy-for-the-diagnosis-and-classification-of-superior-glenoid-labrum-anterior-to-posterior-lesions
#1
Fatih Yıldız, Kerem Bilsel, Anıl Pulatkan, Gökçer Uzer, Ayşe Aralaşmak, Musa Atay
PURPOSE: The physical examination of the shoulder is usually not reliable for the true diagnosis of superior glenoid labrum anterior to posterior (SLAP) lesions. Magnetic resonance imaging (MRI) has been routinely used for the diagnosis. This prospective study investigates the radiological diagnosis of the SLAP lesions and compares accuracy of arthroscopic and MRI classifications. METHODS: One hundred thirty-two patients with positive physical examination signs using O'Brien, Yergason, resistance supination external rotation and Krank tests and MRI findings are included in the study...
November 30, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27697179/editorial-commentary-the-not-so-benign-nature-of-an-isolated-slap-repair
#2
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
#3
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/27469476/-surgical-treatment-of-posterosuperior-impingement-psi
#4
M Beirer, G H Sandmann, A B Imhoff, S Buchmann
OBJECTIVE: To restore the physiologic anterior and posterior capsular volume to achieve an anatomic central contact point of the glenohumeral articulation and treatment of concomitant glenohumeral injuries due to posterosuperior impingement (PSI). INDICATIONS: Plateauing of clinical improvement despite adequate nonsurgical treatment (for at least 6-12 months). CONTRAINDICATIONS: General contraindications for elective arthroscopic surgery...
December 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27435988/correlation-between-physical-examination-and-intraoperative-findings-in-shoulder-disease-treated-by-arthroscopy-statistical-analysis-of-150-patients
#5
P García Parra, M Anaya Rojas, B Jiménez Bravo, M O González Oria, M Lisbona Muñoz, J J Gil Álvarez, P Cano Luis
INTRODUCTION: Only a few clinical exploratory manoeuvres are truly discriminatory and useful in shoulder disease. The aim of this study is to correlate the physical examination results of the shoulder with the true diagnosis found by arthroscopy. METHODS: A retrospective case series of 150 patients with the most common surgical conditions of the shoulder. Data were collected on the suspicion of each pathology, the physical examination of the patient, and the actual discovery of the disease during arthroscopic surgery...
September 2016: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/27385837/identification-and-management-of-chronic-shoulder-pain-in-the-presence-of-an-mra-confirmed-humeral-avulsion-of-the-inferior-glenohumeral-ligament-hagl-lesion
#6
Arif Karmali, Jennifer McLeod
OBJECTIVE: To present the assessment and conservative management of chronic shoulder pain in the presence of a humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion in an active individual. CLINICAL FEATURES: A 47 year-old female office-worker with constant, deep, right shoulder pain with occasional clicking and catching claimed to have "tore something" in her right shoulder five years ago while performing reverse bicep curls. A physical exam led to differential diagnoses of a Superior Labrum Anterior to Posterior (SLAP) lesion, Bankart lesion, and bicipital tendinopathy...
June 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27262413/tobacco-use-is-associated-with-increased-rates-of-infection-and-revision-surgery-after-primary-superior-labrum-anterior-and-posterior-repair
#7
Jourdan M Cancienne, Stephen F Brockmeier, Brian C Werner
BACKGROUND: Although the general health consequences of tobacco use have been well defined, the effects of perioperative tobacco use on arthroscopic shoulder procedures remain largely unknown. The purpose of this study is to use a national database to investigate the relationship between tobacco use and rates of superior labrum anterior and posterior (SLAP) repair failure and postoperative infection after primary SLAP repair compared with matched controls. METHODS: A national private-payer insurance database was queried for patients who underwent arthroscopic primary SLAP from 2005-2012...
June 1, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27163090/slap-repair-with-arthroscopic-decompression-of-spinoglenoid-cyst
#8
Hiroshi Hashiguchi, Satoshi Iwashita, Atsushi Ohkubo, Shinro Takai
INTRODUCTION: A spinoglenoid cyst with suprascapular nerve disorders is highly associated with superior labrum anterior posterior (SLAP) lesion. Conservative or surgical treatment is applied to relieve pain and neurological symptoms. The purpose of this study was to evaluate clinical outcomes of patients treated by arthroscopic surgery for SLAP lesion with a spinoglenoid cyst. METHODS: The subjects of this study were six patients with SLAP lesion with a spinoglenoid cyst who underwent arthroscopic surgery...
2016: SICOT-J
https://www.readbyqxmd.com/read/27083535/subsequent-shoulder-surgery-after-isolated-arthroscopic-slap-repair
#9
Brent Mollon, Siddharth A Mahure, Kelsey L Ensor, Joseph D Zuckerman, Young W Kwon, Andrew S Rokito
PURPOSE: To quantify the incidence of and identify the risk factors for subsequent shoulder procedures after isolated SLAP repair. METHODS: New York's Statewide Planning and Research Cooperative System database was searched between 2003 and 2014 to identify individuals with the sole diagnosis of a SLAP lesion who underwent isolated arthroscopic SLAP repair. Patients were longitudinally followed up for a minimum of 3 years to analyze for subsequent ipsilateral shoulder procedures...
April 12, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27039965/outcomes-of-bankart-repairs-using-modern-arthroscopic-technique-in-an-athletic-population
#10
Charles Milchteim, Scott A Tucker, Darin D Nye, Richard J Lamour, Wei Liu, James R Andrews, Roger V Ostrander
PURPOSE: To report a large number of highly active patients who underwent arthroscopic Bankart repair at our institution over the last decade. METHODS: A retrospective analysis of patients who underwent primary and revision arthroscopic Bankart repairs using bioabsorbable anchors was performed. Outcome measures included recurrence of dislocation, American Shoulder and Elbow Scores (ASES), Rowe, visual analog scale (VAS), return to sports, and satisfaction scores...
July 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26999506/return-to-play-after-treatment-of-shoulder-labral-tears-in-professional-hockey-players
#11
Ashwin Rangavajjula, Adam Hyatt, Eli Raneses, Jim McCrossin, Steven Cohen, Peter DeLuca
OBJECTIVES: Shoulder labral injuries in professional hockey players are often treated surgically to minimize missed ice time. Previous studies have shown that post-operative outcomes in these players are favorable, although they have not specifically focused on athletic performance and time to return to sport. Our objective was to report time to return to play and post-operative on-ice performance metrics after shoulder labral repair in professional ice hockey players. METHODS: We performed a retrospective review of the clinical records of all professional hockey players (NHL) who underwent arthroscopic shoulder labral repair by one surgeon between January 2004 and December 2008...
2016: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/26907371/slap-lesions-trends-in-treatment
#12
Brandon J Erickson, Akshay Jain, Geoffrey D Abrams, Gregory P Nicholson, Brian J Cole, Anthony A Romeo, Nikhil N Verma
PURPOSE: To determine the trends in SLAP repairs over time, including patient age, and percentage of SLAP repairs versus other common shoulder arthroscopic procedures. METHODS: The records of 4 sports or shoulder/elbow fellowship trained orthopaedic surgeons were used to identify the total number of common shoulder arthroscopic cases performed between 2004 and 2014 using current procedural terminology codes (CPT): 29822, 29823, 29826, 29827, 29806, 29807, 29825, and 29828...
June 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26665050/superior-labrum-anterior-posterior-lesions-and-associated-injuries-return-to-play-in-elite-athletes
#13
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
#14
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/26535389/slap-repairs-with-combined-procedures-have-lower-failure-rate-than-isolated-repairs-in-a-military-population-surgical-outcomes-with-minimum-2-year-follow-up
#15
Brian R Waterman, William Arroyo, Kenneth Heida, Robert Burks, Mark Pallis
BACKGROUND: Injuries to the superior glenoid labrum represent a significant cause of shoulder pain among active patients. The physical requirements of military service may contribute to an increased risk of injury. Limited data are available regarding the success of superior labral anterior posterior (SLAP) repairs in an active military population. PURPOSE: To quantify the rate of clinical failure and surgical revision after isolated and combined SLAP repair. STUDY DESIGN: Cohort study; Level of evidence, 3...
August 2015: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/26524933/epinephrine-diluted-saline-irrigation-fluid-in-arthroscopic-shoulder-surgery-a-significant-improvement-of-clarity-of-visual-field-and-shortening-of-total-operation-time-a-randomized-controlled-trial
#16
RANDOMIZED CONTROLLED TRIAL
Douwe O van Montfoort, Paulien M van Kampen, Pol E Huijsmans
PURPOSE: To determine the influence of epinephrine saline irrigation in therapeutic shoulder arthroscopy procedures on the clarity of arthroscopic view. Three subgroups were analyzed; (1) Bankart/SLAP repairs; (2) rotator cuff repairs; and (3) subacromial procedures without rotator cuff repair. Secondary objectives were to evaluate the influence on total operating time and potential cardiovascular adverse reactions. METHODS: The design of the study was a prospective, randomized, double-blind controlled trial...
March 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26321113/current-practice-for-the-diagnosis-of-a-slap-lesion-systematic-review-and-physician-survey
#17
REVIEW
W Ben Kibler, Aaron Sciascia
PURPOSE: To evaluate current practice reported in the literature for making a SLAP lesion diagnosis and compare the findings with a survey sent to experienced shoulder surgeons assessing how they make a SLAP diagnosis. METHODS: We performed a systematic review of articles reporting surgical repair of SLAP lesions, documenting the use of 4 diagnostic areas of evaluation: history, clinical examination, imaging, and diagnostic arthroscopy. A survey was distributed electronically to 175 surgeons with expertise in shoulder surgery...
December 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26288536/arthroscopic-repair-of-type-ii-slap-lesions-clinical-and-anatomic-follow-up
#18
John N Trantalis, Stephen Sohmer, Kristie D More, Atiba A Nelson, Ben Wong, Corinne H Dyke, Gail M Thornton, Richard S Boorman, Ian K Y Lo
AIMS: The aim was to evaluate the clinical and anatomic outcome of arthroscopic repair of type II SLAP lesions. MATERIALS AND METHODS: The senior author performed isolated repairs of 25 type II SLAP lesions in 25 patients with a mean age of 40.0 ± 12 years. All tears were repaired using standard arthroscopic suture anchor repair to bone. All patients were reviewed using a standardized clinical examination by a blinded, independent observer, and using several shoulder outcome measures...
July 2015: International Journal of Shoulder Surgery
https://www.readbyqxmd.com/read/26131912/superior-labral-cleft-after-superior-labral-anterior-to-posterior-tear-repair-ct-arthrographic-features-and-correlation-with-clinical-outcome
#19
Bo Hwa Choi, Na Ra Kim, Sung Gyu Moon, Jin-Young Park, Jin Woo Choi
PURPOSE: To evaluate the presence of a superior labral cleft at postoperative computed tomographic (CT) arthrography after superior labral anterior-to-posterior lesion (SLAP) repair and to correlate CT arthrographic appearance with clinical outcomes. MATERIALS AND METHODS: The institutional review board approved this retrospective study, and the requirement to obtain informed consent was waived. Fifty-six patients who underwent CT arthrography after arthroscopic SLAP repair were included...
February 2016: Radiology
https://www.readbyqxmd.com/read/25911388/correlation-between-american-shoulder-and-elbow-surgeons-and-single-assessment-numerical-evaluation-score-after-rotator-cuff-or-slap-repair
#20
Gregory Cunningham, Alexandre Lädermann, Patrick J Denard, Omar Kherad, Stephen S Burkhart
PURPOSE: To compare the American Shoulder and Elbow Surgeons (ASES) and the Single Assessment Numerical Evaluation (SANE) scores after rotator cuff repair, rotator cuff revision, and SLAP repair. METHODS: This study was a retrospective review of a prospectively filled database of 262 patients who underwent arthroscopic surgery for rotator cuff tears or SLAP lesions between 1999 and 2007. All patients were operated on by the same surgeon, with a minimum follow-up of 2 years...
September 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
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