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Arthroscopic repair of type II SLAP lesions: Clinical and anatomic follow-up
Authors:John N Trantalis  Stephen Sohmer  Kristie D More  Atiba A Nelson  Ben Wong  Corinne H Dyke  Gail M Thornton  Richard S Boorman  Ian KY Lo
Institution:Department of Orthopaedics, Concord Public Hospital, Concord, NSW 2137, Australia;1Department of Surgery, Campbell River Hospital, 375 2nd Avenue, Campbell River, BC V9W 3V1, Canada;2Department of Surgery, Section of Orthopaedic Surgery, McCaig Institute of Bone and Joint Health, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 1N4, Canada;3Department of Radiology, Foothills Medical Centre, University of Calgary, Calgary, AB T2N 2T9, Canada
Abstract:Aims:The aim was to evaluate the clinical and anatomic outcome of arthroscopic repair of type II SLAP lesions.Results:At a mean follow-up of 54-month, the mean American Shoulder and Elbow Surgeons Shoulder Index (ASES) scores improved from 52.1 preoperatively to 86.1 postoperatively (P < 0.0001) and the Simple Shoulder Test (SST) scores from 7.7 to 10.6 (P < 0.0002). Twenty-two out of the 25 patients (88%) stated that they would have surgery again. Of the 21 patients who had postoperative magnetic resonance imaging arthrographys (MRAs), 9 patients (43%) demonstrated dye tracking between the labrum bone interface suggestive of a recurrent tear and 12 patients (57%) had a completely intact repair. There was no significant difference in ASES, SST, and patient satisfaction scores in patients with recurrent or intact repairs.Conclusions:Arthroscopic repair of type II SLAP lesions demonstrated improvements in clinical outcomes. However, MRA imaging demonstrated 43% of patients with recurrent tears. MRA results do not necessarily correlate with clinical outcome.
Keywords:Anatomic follow-up  arthroscopic repair  clinical  shoulder  SLAP lesions
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