Arthroscopic repair of type II SLAP lesions: Clinical and anatomic follow-up

作者：Trantalis John N; Sohmer Stephen; More Kristie D; Nelson Atiba A; Wong Ben; Dyke Corinne H; Thornton Gail M; Boorman Richard S; Lo Ian K Y^*

来源：International Journal of Shoulder Surgery, 2015, 9(3): 74-80.

DOI：10.4103/0973-6042.161434

• Anatomic follow-up
• arthroscopic repair
• clinical
• shoulder
• SLAP lesions

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. Patients were evaluated by magnetic resonance imaging arthrogram at a minimum of 1-year postoperatively.
Statistical Analysis Used: Two-tailed paired t-test were used to determine significant differences in preoperative and postoperative clinical outcomes scores. In addition, a Fisher's exact test was used.
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.

• 出版日期2015-9