Arthroscopic repair of isolated type II superior labrum anterior–posterior lesion

The effectiveness of arthroscopic repair of type II superior labrum anterior–posterior lesion (SLAP) was unclear as previous studies examined this treatment with patients of combined types of SLAP lesions. To address this research gap, we evaluated the clinical and functional outcomes of arthroscopi...

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Main Authors: Yung, P., Fong, D., Kong, M., Lo, C., Fung, K., Ho, E., Chan, Derwin King Chung, Chan, K.
Format: Journal Article
Published: Springer-Verlag 2008
Online Access:http://hdl.handle.net/20.500.11937/7879
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author Yung, P.
Fong, D.
Kong, M.
Lo, C.
Fung, K.
Ho, E.
Chan, Derwin King Chung
Chan, K.
author_facet Yung, P.
Fong, D.
Kong, M.
Lo, C.
Fung, K.
Ho, E.
Chan, Derwin King Chung
Chan, K.
author_sort Yung, P.
building Curtin Institutional Repository
collection Online Access
description The effectiveness of arthroscopic repair of type II superior labrum anterior–posterior lesion (SLAP) was unclear as previous studies examined this treatment with patients of combined types of SLAP lesions. To address this research gap, we evaluated the clinical and functional outcomes of arthroscopic repair for 16 patients (mean = 24.2, SD = 6.5) with clinical evidence of isolated type II SLAP lesion. After having arthroscopic stabilizations with Bioknotless suture anchors (Mitek), the patients were offered post-operative rehabilitation programs (e.g., physiotherapy) for 6 months. The symptoms of SLAP lesion and the functions of the shoulder were assessed pre-operatively and 28-month post-operatively by O’Brien test, Speed test, Yergason test, and University of California at Los Angeles rating for pain and function of the shoulder. Wilcoxon Signed Ranks test and McNemar test were employed to analyze the difference between assessment in pre-operation and post-operation phases. The result showed that patients’ shoulder functions improved (UCLA Shoulder Score), and symptoms of SLAP lesion reduced (O’Brien test, Speed test, and Yergason test) significantly (P < 0.05). Time for returning to play with pre-injury level was in average 9.4 months (range 4–24), and no complication or recurrence was detected. We concluded that arthroscopic repair is an effective operation of type II SLAP lesion with good clinical and functional outcomes; however, athletes with high demand of overhead throwing activities are likely to take longer duration of rehabilitation to attain full recovery.
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spelling curtin-20.500.11937-78792018-03-29T09:05:40Z Arthroscopic repair of isolated type II superior labrum anterior–posterior lesion Yung, P. Fong, D. Kong, M. Lo, C. Fung, K. Ho, E. Chan, Derwin King Chung Chan, K. The effectiveness of arthroscopic repair of type II superior labrum anterior–posterior lesion (SLAP) was unclear as previous studies examined this treatment with patients of combined types of SLAP lesions. To address this research gap, we evaluated the clinical and functional outcomes of arthroscopic repair for 16 patients (mean = 24.2, SD = 6.5) with clinical evidence of isolated type II SLAP lesion. After having arthroscopic stabilizations with Bioknotless suture anchors (Mitek), the patients were offered post-operative rehabilitation programs (e.g., physiotherapy) for 6 months. The symptoms of SLAP lesion and the functions of the shoulder were assessed pre-operatively and 28-month post-operatively by O’Brien test, Speed test, Yergason test, and University of California at Los Angeles rating for pain and function of the shoulder. Wilcoxon Signed Ranks test and McNemar test were employed to analyze the difference between assessment in pre-operation and post-operation phases. The result showed that patients’ shoulder functions improved (UCLA Shoulder Score), and symptoms of SLAP lesion reduced (O’Brien test, Speed test, and Yergason test) significantly (P < 0.05). Time for returning to play with pre-injury level was in average 9.4 months (range 4–24), and no complication or recurrence was detected. We concluded that arthroscopic repair is an effective operation of type II SLAP lesion with good clinical and functional outcomes; however, athletes with high demand of overhead throwing activities are likely to take longer duration of rehabilitation to attain full recovery. 2008 Journal Article http://hdl.handle.net/20.500.11937/7879 10.1007/s00167-008-0629-4 Springer-Verlag restricted
spellingShingle Yung, P.
Fong, D.
Kong, M.
Lo, C.
Fung, K.
Ho, E.
Chan, Derwin King Chung
Chan, K.
Arthroscopic repair of isolated type II superior labrum anterior–posterior lesion
title Arthroscopic repair of isolated type II superior labrum anterior–posterior lesion
title_full Arthroscopic repair of isolated type II superior labrum anterior–posterior lesion
title_fullStr Arthroscopic repair of isolated type II superior labrum anterior–posterior lesion
title_full_unstemmed Arthroscopic repair of isolated type II superior labrum anterior–posterior lesion
title_short Arthroscopic repair of isolated type II superior labrum anterior–posterior lesion
title_sort arthroscopic repair of isolated type ii superior labrum anterior–posterior lesion
url http://hdl.handle.net/20.500.11937/7879