Outcomes of type II superior labrum, anterior to posterior (SLAP) repair: Prospective evaluation at a minimum two-year follow-up

• Published in: Journal of shoulder and elbow surgery Vol. 19; no. 6; pp. 859 - 867
• Main Authors: Friel, Nicole A., MS, Karas, Vasili, BS, Slabaugh, Mark A., MD, Cole, Brian J., MD, MBA
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01-09-2010; Elsevier
• Subjects: Absorbable Implants; Adolescent; Adult; Arthroscopy - methods; Biological and medical sciences; Diseases of the osteoarticular system; Female; Follow-Up Studies; Humans; Labrum; Male; Medical sciences; Middle Aged; Orthopedics; Prospective Studies; Range of Motion, Articular; shoulder arthroscopy; Shoulder Joint - injuries; Shoulder Joint - physiopathology; Shoulder Joint - surgery; SLAP lesion; superior labrum anterior to posterior; Surveys and Questionnaires; Suture Techniques - instrumentation; Sutures; Tendon Injuries - physiopathology; Tendon Injuries - surgery; Time Factors; Treatment Outcome; Young Adult; Treatment Study; shoulder arthroscopy; Level IV; Case Series; Labrum; superior labrum anterior to posterior; SLAP lesion; Prognosis; Repair; Posterior; Rheumatology
• ISSN: 1058-2746; 1532-6500
• DOI: 10.1016/j.jse.2010.03.004

Hypothesis Patients with type II superior labrum, anterior to posterior (SLAP) lesions will have improved function and decreased pain at a minimum of 2 years after arthroscopic SLAP repair using bioabsorbable suture anchor fixation. Materials and methods The study population consisted of 48 patients who underwent arthroscopic SLAP repair. Subjective shoulder scores, range of motion, and strength (postoperative only) were assessed preoperatively and at a minimum of 2 years postoperatively. Results At an average of 3.4 years after surgery, statistically significant improvement was seen in American Shoulder and Elbow Surgeons score, University of California, Los Angeles score, Simple Shoulder Test scores, Constant activities of daily living, visual analog scale for pain, and Short Form-12 Health Survey physical outcome scores. Improvements were made in forward flexion, abduction, external rotation, and internal rotation. Subgroup analysis of nonathletes, nonoverhead athletes, recreational overhead athletes, and collegiate overhead athletes showed preoperative to postoperative improvements in subjective outcomes scores. Overhead laborers and nonlaborers also showed preoperative to postoperative improvements in subjective shoulder scores. Discussion No differences were seen between the outcomes of nonathletes, nonoverhead athletes, recreational overhead athletes, and collegiate overhead athletes, suggesting that SLAP type II repair is successful independent of the patient's vocation or sport. Conclusion These results show that arthroscopic SLAP repair of type II lesions with bioabsorbable suture anchors provides a significant improvement in functional capacity and pain relief.