Isolated SLAP Lesions of the Shoulder: Surgical Treatment and Outcome.
10.4055/jkoa.2003.38.4.426
- Author:
Yong Girl RHEE
1
;
Dong Hun LEE
;
Chan Teak LIM
;
Jin Woong YI
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. shoulderrhee@hanmail.net
- Publication Type:Original Article
- Keywords:
Shoulder;
Superior labrum;
Isolated SLAP lesion;
Arthroscopy
- MeSH:
Arthroscopy;
Athletes;
Follow-Up Studies;
Humans;
Retrospective Studies;
Shoulder*;
Sports
- From:The Journal of the Korean Orthopaedic Association
2003;38(4):426-431
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To analyze the general characteristics of isolated SLAP (superior labrum anterior to posterior) lesions of shoulder and to evaluate efficacy of arthroscopic treatment. MATERIALS AND METHODS: We retrospectively reviewed 43 athletic patients with 46 isolated SLAP lesions. The mean follow-up period was 21 months, and mean patient age was 25 years. Twenty seven patients presented with injury to the dominant shoulder, and 3 had bilateral involvement. RESULTS: Pain and clicking were the most common symptoms. The mechanism of injury was assumed to be chafing in 27 cases, compression in 9 cases. Type 2 lesion was commonest (30 cases). The single most sensitive test was the compression-rotation test, which was positive in 92% of patients. The average UCLA score at the last follow-up was 31.6 points; 18 cases ranked as excellent and 21 as good.Postoperative performance data was obtained for in 27 athletes, 19 were able to return to their sports. CONCLUSION: Arthroscopic surgery for an isolated SLAP lesion resulted in 85% of patients being rated good or above, and 70% of athletic patients were able to resume sporting activity.