TITLE

Concomitant Arthroscopic SLAP and Rotator Cuff Repair

AUTHOR(S)
Forsythe, Brian; Guss, Daniel; Anthony, Shawn G.; Martin, Scott D.
PUB. DATE
June 2010
SOURCE
Journal of Bone & Joint Surgery, American Volume;Jun2010, Vol. 92-A Issue 6, p1362
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The outcomes of combined arthroscopic repairs of a SLAP (superior labral anterior–posterior) lesion and a rotator cuff tear are not known. We compared the outcomes in a cohort of patients who had undergone concomitant arthroscopic repairs of a SLAP lesion and a rotator cuff tear with those in a cohort of patients with a stable biceps anchor who had undergone an isolated rotator cuff repair. We hypothesized that the results would be similar between the two cohorts with respect to the range of motion and preoperative and postoperative function. Methods: Thirty–four patients (average age, 56.9 years) underwent an arthroscopic repair of an unstable SLAP lesion along with a concomitant arthroscopic rotator cuff repair. Twenty–eight patients (average age, 59.6 years) underwent an isolated arthroscopic rotator cuff repair. The average durations of follow–up for the two groups were 40.9 and 42.7 months, respectively. All patients in both groups had a symptomatic full–thickness rotator cuff tear for which initial conservative treatment had failed. Patients with advanced supraspinatus fatty infiltration or advanced muscle atrophy were excluded from the study. American Shoulder and Elbow Surgeons (ASES) and Constant scores were determined preoperatively and postoperatively, as were measurements of the ranges of forward flexion, abduction, external rotation, and internal rotation. Dynamometer strength testing was performed on all patients as an adjunct to qualitative assessments, and normalized Constant scores were calculated to perform sex and age–matched functional assessments. Results: In the group treated with concomitant repairs of a SLAP lesion and a rotator cuff tear, the average ASES score improved from 22.6 to 96.4 points and the average normalized Constant score improved from 55.1 to 101.0 points. In the group treated with an isolated arthroscopic rotator cuff repair, the average ASES score improved from 34.3 to 92.3 points and the average normalized Constant score improved from 60.7 to 95.8 points. The average preoperative ASES score in the group with the concomitant repairs was significantly worse than that in the group with the isolated rotator cuff repair (p = 0.027). This difference is also probably clinically relevant. There was no significant difference between the groups with regard to the preoperative normalized Constant scores, but postoperatively the normalized Constant score was significantly higher in the group with the concomitant repairs (p = 0.006). The active range of motion did not differ between the groups, preoperatively or postoperatively. Conclusions: Controversy surrounds the treatment of a SLAP lesion with concomitant treatment of a full–thickness rotator cuff tear. This study suggests that, in middle–aged patients, the results of combined SLAP lesion and rotator cuff repair can be comparable with those achieved with rotator cuff repair alone. Level of Evidence: Therapeutic Level III. See Instructions to Authors for a complete description of levels of evidence.
ACCESSION #
51403989

 

Related Articles

  • S&N launches the Healicoil Regenesorb Suture Anchor. FORD, OMAR // Medical Device Daily;11/8/2013, Vol. 17 Issue 217, p1 

    The article discusses the launch of Smith & Nephew's (S&N) Healicoil Regenesorb Suture Anchor, a technology to help treat injuries caused by the wear and tear of rotator cuffs, while also enhancing bone formation.

  • Primary arthroscopic rotator cuff repair reversed preoperative pseudoparalysis. Buddle, Renee Blisard // Orthopedics Today;Jun2012, Vol. 32 Issue 6, p20 

    The article reports that primary arthroscopic rotator cuff repair for massive tears reversed pseudoparalysis.

  • Development of Fatty Atrophy After Neurologic and Rotator Cuff Injuries in an Animal Model of Rotator Cuff Pathology. Rowshan, Kasra; Hadley, Scott; Pham, Khoa; Caiozzo, Vince; Lee, Thay Q.; Gupta, Ranjan // Journal of Bone & Joint Surgery, American Volume;10/6/2010, Vol. 92-A Issue 13, p2270 

    Background: Detachment of a tendon from its osseous insertion, as can be the case with severe rotator cuff injuries, leads to atrophy of and increased fat in the corresponding muscle. We sought to validate a rotator cuff injury model in the rabbit and to test the hypothesis that tenotomy of a...

  • State of the art in rotator cuff repair. Randelli, Pietro; Bak, Klaus; Milano, Giuseppe // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2015, Vol. 23 Issue 2, p341 

    An introduction is presented in which the editors discusses articles within the issue on topics including rotator cuff repair, muscle atrophy, and subacromial decompression in patients with subacromial impingement syndrome.

  • Development of an Arthroscopic Joint Capsule Injury Model in the Canine Shoulder. Kovacevic, David; Baker, Andrew R.; Staugaitis, Susan M.; Kim, Myung-Sun; Ricchetti, Eric T.; Derwin, Kathleen A. // PLoS ONE;1/25/2016, Vol. 11 Issue 1, p1 

    Background: The natural history of rotator cuff tears can be unfavorable as patients develop fatty infiltration and muscle atrophy that is often associated with a loss of muscle strength and shoulder function. To facilitate study of possible biologic mechanisms involved in early degenerative...

  • Arthroscopic technique may restore function for irreparable rotator cuffs.  // Orthopedics Today;Aug2011, Vol. 31 Issue 8, p1 

    The article reports on the discovery of an enhanced function and restored stability in patients with irreparable rotator cuff tears treated with a superior capsule reconstruction technique by Doctor of Medicine (MD), Teruhisa Mihata, and colleagues.

  • Acromioplasty has no effect on function, quality of life for patients undergoing arthroscopic rotator cuff repair. Weber, Stephen C. // Orthopedics Today;Dec2011, Vol. 31 Issue 12, p28 

    The article discusses research on the impact of acromioplasty on the function and quality of life of patients undergoing arthroscopic rotator cuff repair, by P. MacDonald and colleagues, published in the "Journal of Bone and Joint Surgery."

  • Aquatic physiotherapy and shoulder rehabilitation for rotator cuff injuries. Wagner, Deborah // Aqualines: The Journal of the Hydrotherapy Association of Charte;2012, Vol. 24 Issue 2, p6 

    Purpose: To perform a search of literature to identify evidence that exists to support the effective use of aquatic physiotherapy as a treatment technique for rotator cuff injuries. Background: One of the most common causes of pain and disability in the shoulder is the rotator cuff. The rotator...

  • Thoracic posture, shoulder muscle activation patterns and isokinetic strength of semi-professional rugby union players. Bolton, G.; Moss, S. J.; Sparks, M.; Venter, P. C. // South African Journal of Sports Medicine;2013, Vol. 25 Issue 1, p12 

    Background. Shoulder injuries are the most severe injuries in rugby union players, accounting for almost 20% of injuries related to the sport and resulting in lost playing hours. Objective. To profile the thoracic posture, scapular muscle activation patterns and rotator cuff muscle isokinetic...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics