Outcome of the isolated SLAP lesions and analysis of the results according to the injury mechanisms |
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Authors: | Jung Ho Park Yong Seuk Lee Joon Ho Wang Haeng Kee Noh Jae Gyun Kim |
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Institution: | (1) Department of Orthopaedic Surgery, Korea University Ansan Hospital, 516 Gozan-1-dong, Danwon-gu, Ansan, 425-707, Republic of Korea |
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Abstract: | Superior labral anterior posterior (SLAP) lesions of the shoulder arise from various causes and have some controversies in
their treatment. The purpose of this study is to evaluate the outcomes of arthroscopic SLAP repair and the relationship between
injury mechanisms and outcomes. We evaluated the clinical results of 24 patients (mean 33 months follow-up) who had an arthroscopic
isolated SLAP (type II: 21, type III: 1, type IV: 2 patients) repair with suture anchors. These labral tears were arthroscopically
repaired with 1–4 anchors (mean 1.8). All patients were evaluated with University of California, Los Angeles (UCLA) and Visual
Analogue Scale (VAS) scores. There were the following injury mechanisms: compression-type, 10; traction-type, 9; combined
or other-type, 5 patients. We also compared the clinical results according to the injury mechanisms. Preoperatively, the mean
of UCLA and VAS scores were 22.7 and 6.4 points, respectively. At an average of 33 months postoperatively, the mean of UCLA
and VAS scores were 29.9 and 2.1 points, respectively. There was statistical improvement in the subjective scores from the
pre- to post-operation. UCLA and VAS scores of the pre- and post-operation were not statistically different according to the
injury mechanisms. Arthroscopic repair is effective in the treatment of isolated SLAP lesion and injury mechanisms do not
affect the clinical outcomes. |
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Keywords: | Shoulder Superior labral anterior posterior (SLAP) Repair Injury mechanism Clinical outcome |
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