Arthroscopic Treatment of a Type II Superior Labrum Anterior to Posterior (SLAP) Lesion Combined with a Bankart Lesion: Comparative Study between Debridement and Repair of Type II SLAP Lesion by the Status of Lesion
10.5397/cise.2018.21.1.37
- Author:
Sung Hyun LEE
1
;
Min Su JOO
;
Kyeong Hoon LIM
;
Jeong Woo KIM
Author Information
1. Department of Orthopedic Surgery, Wonkwang University Hospital, Iksan, Korea. serina@wonkwang.ac.kr
- Publication Type:Comparative Study
- Keywords:
Bankart lesion;
Glenoid labrum;
Superior labrum from anterior to posterior;
Debridement
- MeSH:
Debridement;
Elbow;
Follow-Up Studies;
Humans;
Range of Motion, Articular;
Shoulder;
Surgeons;
Suture Anchors
- From:Clinics in Shoulder and Elbow
2018;21(1):37-41
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The purpose of this study is to evaluate results of superior labrum anterior to posterior (SLAP) repairs and debridement of type II SLAP lesions combined with Bankart lesions. METHODS: Between 2010 and 2014, total 58 patients with anterior shoulder instability due to a Bankart lesion combined with a type II SLAP lesion were enrolled. Patients were divided into two groups: group C consisted of 30 patients, each with a communicated Bankart and type II SLAP lesion and group NC consisted of 28 patients, each with a non-communicated Bankart and type II SLAP lesion. Bankart repairs were performed for all patients. SLAP lesions were repaired in group C and debrided in group NC. Clinical results were analysed to compare groups C and NC by using the visual analogue scale pain score, American Shoulder and Elbow Surgeons score, Constant scores, Rowe score for instability and range of motion assessments. RESULTS: The clinical scores were improved in both groups at final follow-up. Also, there were no differences between two groups. No significant difference was found in terms of the range of motion measured at the last follow-up. The number of suture anchors used was significantly higher in group C than in group NC (5.6 vs. 3.8; p=0.021). CONCLUSIONS: In this study, it is considered that Bankart repair and SLAP debridement could be a treatment option in patients with a non-communicated type II SLAP lesion combined with a Bankart lesion (study design: IV, therapeutic study, case series).
