Anterior Shoulder Instability with Concomitant Superior Labrum from Anterior to Posterior (SLAP) Lesion Compared to Anterior Instability without SLAP Lesion

Durban, Claire Marie C.; Kim, Je Kyun; Kim, Sae Hoon; Oh, Joo Han

doi:10.4055/cios.2016.8.2.168

Cited by 24 publications

(31 citation statements)

References 22 publications

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“…Other studies have reported that the affected labral area is not correlated with the progression of the labral injury caused by the initial trauma but is rather correlated with the severity of the initial trauma. [19,21] In our study, there were no significant differences between the two groups in terms of trauma mechanism. Although the mechanisms of trauma causing the labral injuries were similar, the severity of the trauma could be different between the two groups.…”

Section: Discussioncontrasting

confidence: 55%

“…[26,27] In similar studies that have compared isolated Bankart and accompanying SLAP lesions, recurrence rates of 4.2% and 8.7% have been reported. [19,20] In our study, this rate was 7.3%. There are many factors that increase the risk of recurrence after anterior instability surgery and cause unsuccessful results.…”

Section: Discussionmentioning

confidence: 40%

“…This rate is about 11 to 27% in the literature. [ 2 , 6 , 16 - 18 ] Type V SLAP lesions were detected in 36.6% of cases in Durban et al,[ 19 ] 40% in Gül et al,[ 17 ] and 34% in Aydin et al[ 20 ] studies. In our case series, it was approximately 39%, which is in accordance with the literature.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of the clinical results of isolated Bankart and SLAP 5 lesions after arthroscopic repair

et al. 2020

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The glenohumeral joint is the most mobile joint in the human body. Shoulder stability is provided by static and dynamic stabilizers and load resistance is ensured by these stabilizers. [1] Damage to these structures leads to dislocation and recurrent instability. Traumatic anterior instability or dislocation of the shoulder joint usually results in avulsion of the anterior inferior labrum. Bankart defined this lesion as the "essential lesion" of shoulder instability. [2] In addition to Bankart lesions, lesions in different areas of the labrum can occur, such as superior labrum anterior to posterior (SLAP) lesions. Superior labral tears were first defined by Andrews et al. in 1985. [2] Then in 1990, Snyder [3] coined the term SLAP lesions. With SLAP lesions, the superior labrum detaches along with the biceps tendon and the labral tear extends anteriorly from the posterior superior labrum. Snyder further classified SLAP lesions into four categories and over time different types of SLAP lesions were added to Snyder's classification. [3-5] The etiology of SLAP lesions remains uncertain. There Objectives: This study aims to compare the clinical results of patients with traumatic isolated Bankart lesions and type V superior labrum anterior to posterior (SLAP) lesions after arthroscopic repair. Patients and methods: Patients who underwent arthroscopic repair for traumatic anterior glenohumeral instability were evaluated retrospectively between December 2014 and January 2019. Fifty-one patients (49 males, 2 females; mean age 25 years; range, 18 to 36 years) without bone defects affecting >20% of the glenoid fossa, off-track engaging Hills-Sachs lesions, multidirectional instability, or ligamentous laxity were included in the study. Group 1 had 31 patients with isolated Bankart lesions and group 2 had 20 patients with type V SLAP lesions. There were only two female patients in group 1 and all patients were male in group 2. The mean age was 25 years (range, 18 to 36 years) in group 1 and 25 years (range, 19 to 35 years) in group 2. Rowe, Constant, and Western Ontario Shoulder Instability (WOSI) scoring systems were used to evaluate the clinical outcomes of the patients preoperatively and at the last follow-up. Results: The mean follow-up time was 32 months (range, 12 to 48 months) in group 1 and 28.5 months (range, 12 to 42 months) in group 2. There were no statistically significant differences between the two groups in terms of the number of shoulder dislocations before the surgery, mean age at the time of surgery, and the mean time from the first dislocation to surgical treatment. When the Rowe, Constant, and WOSI scores were evaluated preoperatively and at the last follow-up, there were statistically significant changes within, but not between, the two groups. Conclusion: In type V SLAP lesions, the affected and repaired labrum surface area is larger than isolated Bankart lesions. However, as a result of appropriate surgical treatment, the affected surface area does not have a negative effect on clinical outcomes, and s...

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Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 40%

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Comparison of the clinical results of isolated Bankart and SLAP 5 lesions after arthroscopic repair

et al. 2020

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“…Furthermore, anterior shoulder instability is always combined with SLAP lesion. 28 , 29 LHB transfer in this condition may address the SLAP lesion and enhance anterior-inferior stability of the shoulder simultaneously.…”

Section: Discussionmentioning

confidence: 98%

Arthroscopic Transfer of the Long Head of the Biceps Brachii for Anterior Shoulder Instability

Tang

Zhao

2017

Arthroscopy Techniques

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In the treatment of anterior shoulder instability, there are various conditions in which a sling effect is needed to enhance anterior stability. The traditional Latarjet procedure provides a sling effect but destroys the coracoacromial arch, which may result in superior instability. To preserve the coracoacromial arch and create a sling to enhance the anterior-inferior side of the shoulder, we introduce an arthroscopic technique to transfer the long head of the biceps (LHB) brachii. Indications of LHB transfer are patients younger than 45 years of age who participate in competitive sports, require forceful external rotation and abduction movement of the shoulder, and/or have capsule-ligament insufficiency, as well as patients 45 years o or older who have combined SLAP lesions (type II or IV). The main steps of this procedure include detaching the LHB, retrieving and braiding the LHB, creating a glenoid tunnel, placing a guide suture through the subscapularis and glenoid tunnel, passing the LHB through the subscapularis and into the glenoid tunnel, and suspension fixation of the LHB.

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“…[4][5][6]14,21,25,27,33,35,45 In addition, the clinical presentation of patients with a type V SLAP lesion is similar to that of patients with GH instability with an isolated Bankart lesion, such as instability symptoms, mechanical symptoms (clicking, catching, or popping), and even symptoms mimicking those of subacromial impingement, rotator cuff (RC) tears, or acromioclavicular arthritis. [7][8][9][10]12,13,[19][20][21]26,31,32,38,40,43 Another point of continued debate is the diagnostic accuracy of clinical provocative tests that can differentiate a Bankart lesion from a type V SLAP lesion; that is, clinical identification of a type II SLAP lesion in cases of recurrent anterior GH instability. 8,32,38,40 This study was conducted to investigate the following question: Do the investigated provocative tests offer reliable predictive values in diagnosing a type II SLAP lesion in patients with traumatic recurrent anterior GH instability?…”

mentioning

confidence: 99%

Type V superior labral anterior-posterior (SLAP) lesion in recurrent anterior glenohumeral instability

Kandeel

2020

Journal of Shoulder and Elbow Surgery

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Anterior Shoulder Instability with Concomitant Superior Labrum from Anterior to Posterior (SLAP) Lesion Compared to Anterior Instability without SLAP Lesion

Cited by 24 publications

References 22 publications

Comparison of the clinical results of isolated Bankart and SLAP 5 lesions after arthroscopic repair

Comparison of the clinical results of isolated Bankart and SLAP 5 lesions after arthroscopic repair

Arthroscopic Transfer of the Long Head of the Biceps Brachii for Anterior Shoulder Instability

Type V superior labral anterior-posterior (SLAP) lesion in recurrent anterior glenohumeral instability

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