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SLAP Tears

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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
#1
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...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28032029/evaluation-and-treatment-of-internal-impingement-of-the-shoulder-in-overhead-athletes
#2
REVIEW
Keith T Corpus, Christopher L Camp, David M Dines, David W Altchek, Joshua S Dines
One of the most common pathologic processes seen in overhead throwing athletes is posterior shoulder pain resulting from internal impingement. "Internal impingement" is a term used to describe a constellation of symptoms which result from the greater tuberosity of the humerus and the articular surface of the rotator cuff abutting the posterosuperior glenoid when the shoulder is in an abducted and externally rotated position. The pathophysiology in symptomatic internal impingement is multifactorial, involving physiologic shoulder remodeling, posterior capsular contracture, and scapular dyskinesis...
December 18, 2016: World Journal of Orthopedics
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
#3
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/27872991/shoulder-manual-muscle-resistance-test-cannot-fully-detect-muscle-weakness
#4
Takayuki Nagatomi, Tatsuo Mae, Teruyoshi Nagafuchi, Shin-Ichi Yamada, Koutatsu Nagai, Minoru Yoneda
PURPOSE: The shoulder manual resistance test is one of the common clinical assessments for patients with muscle weakness. However, there have been no studies investigating the threshold for muscle weakness. The purpose of this study was to clarify the threshold for muscle weakness in the shoulder manual muscle resistance test. METHODS: Fifty-three patients (37.9 ± 20.6 years old) with either rotator cuff tear (21 patients), superior labrum anterior-to-posterior (SLAP) lesion (7 patients), or Bankart lesion (25 patients) of one shoulder were administered three manual muscle resistance tests (abduction strength, external rotation, and belly press tests)...
November 21, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27829728/mr-arthrography-evaluation-in-patients-with-traumatic-anterior-shoulder-instability
#5
Luca Saba, Massimo De Filippo
INTRODUCTION: To evaluate retrospectively the diagnostic accuracy of MR arthrography, compared with arthroscopy, in research of the glenoid labrum tear in patients with a first episode of traumatic anterior shoulder instability (TUBS). MATERIAL AND METHODS: We retrospectively reviewed the MR arthrography shoulder images of 118 patients with a first episode of TUBS, between June 2014 and May 2016. RESULTS: The overall accuracy of MR arthrography compared with arthroscopy of the glenoid labrum lesions was 94%, sensitivity 93%, and specificity 96%...
March 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27793805/superior-labrum-anterior-posterior-tears-in-the-national-football-league
#6
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
#7
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...
October 26, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27765830/superior-labral-anterior-posterior-slap-tears-in-the-military-a-clinical-review-of-incidence-diagnosis-and-treatment-compared-with-the-civilian-population
#8
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...
October 7, 2016: Sports Health
https://www.readbyqxmd.com/read/27737608/a-prospective-cohort-study-investigating-the-effect-of-generalized-joint-hypermobility-on-outcomes-after-arthroscopic-anterior-shoulder-stabilization
#9
Loukas Koyonos, Matthew J Kraeutler, Daniel F O'Brien, Michael G Ciccotti, Christopher C Dodson
OBJECTIVES: Generalized joint laxity has been proposed as a significant risk factor for failure after arthroscopic anterior shoulder stabilization. The purpose of this study was to prospectively measure joint mobility in patients undergoing arthroscopic anterior shoulder stabilization and to determine whether hypermobility is a risk factor for worse outcomes compared with patients having normal joint mobility. METHODS: Patients with anterior shoulder instability were prospectively enrolled...
October 13, 2016: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27697179/editorial-commentary-the-not-so-benign-nature-of-an-isolated-slap-repair
#10
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/27497788/variable-reporting-of-functional-outcomes-and-return-to-play-in-superior-labrum-anterior-and-posterior-tear
#11
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
https://www.readbyqxmd.com/read/27469476/-surgical-treatment-of-posterosuperior-impingement-psi
#12
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/27163090/slap-repair-with-arthroscopic-decompression-of-spinoglenoid-cyst
#13
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/27052683/utility-of-pre-and-post-mr-arthrogram-imaging-of-the-shoulder-effect-on-patient-care
#14
Thomas Magee
OBJECTIVE: MR arthrogram imaging of the shoulder is considered more accurate in assessing shoulder pathology than conventional MRI. Arthrography is a minimally invasive procedure. However, most patients prefer to have conventional MRI rather than MR arthrogram imaging. We report the benefit of assessing pre-arthrogram conventional MRI, to determine whether an MR arthrogram is needed for further evaluation. METHODS: 100 consecutive conventional shoulder MR and MR arthrography examinations performed on the same patients were reviewed retrospectively by independent reading of 2 musculoskeletal radiologists...
June 2016: British Journal of Radiology
https://www.readbyqxmd.com/read/27042543/correlation-between-mri-and-arthroscopy-in-diagnosis-of-shoulder-pathology
#15
Abhinav Bhatnagar, Sachin Bhonsle, Sonu Mehta
INTRODUCTION: Shoulder pain can cause significant pain, discomfort and reduce the ability to perform activities of daily living, thus making it the third most common cause of musculoskeletal consultation. The current gold standard diagnostic investigation is arthroscopy. MRI is a proved sensitive and accurate non-invasive tool in investigating shoulder pathology, but false and misleading results are equally reported. AIM: The aim of the study is to compare the efficacy of MRI in diagnosing shoulder pathologies in comparison to arthroscopy, considering arthroscopy as the gold standard...
February 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27017566/treatment-of-ulnar-collateral-ligament-injuries-and-superior-labral-tears-by-major-league-baseball-team-physicians
#16
Brandon J Erickson, Joshua D Harris, Yale A Fillingham, Gregory L Cvetanovich, Charles A Bush-Joseph, Bernard R Bach, Anthony A Romeo, Nikhil N Verma
PURPOSE: To determine practice patterns of Major League Baseball (MLB) team orthopaedic surgeons in addressing the controversial topics of ulnar collateral ligament (UCL) tears, type II SLAP tears, and partial-thickness rotator cuff tear. METHODS: Seventy-four MLB team orthopaedic surgeons were surveyed via an online survey system. A 14-question survey was used to assess surgeon experience, technique, and graft choice for UCL reconstruction (UCLR), treatment of type II SLAP tears, and other common pathologic conditions...
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
#17
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/26921128/comparison-of-treatments-for-superior-labrum-biceps-complex-lesions-with-concomitant-rotator-cuff-repair-a-prospective-randomized-comparative-analysis-of-debridement-biceps-tenotomy-and-biceps-tenodesis
#18
Joo Han Oh, Ye Hyun Lee, Sae Hoon Kim, Ji Soon Park, Hyuk Jun Seo, Woo Kim, Hae Bong Park
PURPOSE: To compare the clinical outcomes in patients with concomitant superior labrum-biceps complex (SLBC) lesions and rotator cuff tears who underwent arthroscopic rotator cuff repair, according to 3 different treatment methods (simple debridement, biceps tenotomy, or biceps tenodesis) for the SLBC lesions. METHODS: One hundred twenty patients who underwent arthroscopic rotator cuff repair with SLBC lesions (biceps partial tears <50%, partial pulley lesions, and type II SLAP lesions) were enrolled in this prospective comparative study and randomly assigned to 1 of 3 treatment groups (simple debridement [Deb], biceps tenotomy only [BTo], or biceps tenodesis with one suture anchor [BTd])...
February 23, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26818554/slap-lesions-a-treatment-algorithm
#19
Matthias Brockmeyer, Marc Tompkins, Dieter M Kohn, Olaf Lorbach
Tears of the superior labrum involving the biceps anchor are a common entity, especially in athletes, and may highly impair shoulder function. If conservative treatment fails, successful arthroscopic repair of symptomatic SLAP lesions has been described in the literature particularly for young athletes. However, the results in throwing athletes are less successful with a significant amount of patients who will not regain their pre-injury level of performance. The clinical results of SLAP repairs in middle-aged and older patients are mixed, with worse results and higher revision rates as compared to younger patients...
February 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26756861/influence-of-rotator-cuff-tears-on-glenohumeral-stability-during-abduction-tasks
#20
Thomas Hölscher, Tim Weber, Igor Lazarev, Carsten Englert, Sebastian Dendorfer
One of the main goals in reconstructing rotator cuff tears is the restoration of glenohumeral joint stability, which is subsequently of utmost importance in order to prevent degenerative damage such as superior labral anterior posterior (SLAP) lesion, arthrosis, and malfunction. The goal of the current study was to facilitate musculoskeletal models in order to estimate glenohumeral instability introduced by muscle weakness due to cuff lesions. Inverse dynamics simulations were used to compute joint reaction forces for several static abduction tasks with different muscle weakness...
September 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
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