Greater Strength Increase with Cyst Decompression and SLAP Repair than SLAP Repair Alone

Pillai, Gita; Baynes, Jason R.; Gladstone, James N.; Flatow, Evan L.

doi:10.1007/s11999-010-1661-5

Cited by 37 publications

(13 citation statements)

References 13 publications

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“…5 Thus, the Lartajet procedure is a viable option for arthroscopic repair failure, in bipolar lesions and when there is a high probability of recurrence. 6 The results of open procedures are higher when compared with the arthroscopic ones in high-risk sports athletes 7 ; however, few studies show bone block results related to athletic activity, in this case, soccer. The objective of this study was to assess professional soccer players treated by the Lartajet technique, analyzing the rate and time of return to sports activities, complications or failures.…”

Section: Introductionmentioning

confidence: 99%

Latarjet Procedure on Anterior Shoulder Instability in Professional Soccer Players

et al. 2020

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Anterior glenohumeral instability is a frequent cause of professional soccer players’ removal, reduced performance, and prolonged recovery. Players are subjected to intense physical contact and high performance, thus demanding lower rates of recurrence after surgical correction so they can return to sport quickly. Objective: To assess professional soccer players treated by the Lartajet technique considering the rate and time of return to sports activities, complications or failures. Methods: Analysis held between 2010 and 2018 of professional soccer players diagnosed with anterior shoulder instability operated by the open procedure of Lartajet in our service. Results: The mean return to professional sports was 93.5 days. The mean time of surgery in relation to the first dislocation was 12.4 months. Each athlete had 4.3 shoulder dislocations until the procedure was performed. The rate of recurrence was zero and subluxation was not observed. Conclusion: The Latarjet procedure allowed all professional athletes to return to competitive activities quickly, without dislocations and subluxation, negative seizure and without complications during follow-up. Level of evidence IV, Case series.

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Section: Introductionmentioning

confidence: 99%

Latarjet Procedure on Anterior Shoulder Instability in Professional Soccer Players

et al. 2020

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“… 9 Other authors have shown that decompression aids in faster recovery of neuropathy, with more rapid increases in strength. 10 A subacromial space approach has been described for SSN decompression but requires a significant resection of the subacromial bursa and places the SSN and coracoclavicular ligaments at risk of iatrogenic injury. 11 …”

Section: Discussionmentioning

confidence: 99%

Transcapsular Decompression of Shoulder Ganglion Cysts

Phillips

Field

2018

Arthroscopy Techniques

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Paralabral cysts are an increasingly recognized cause of suprascapular nerve (SSN) impingement, often causing insidious weakness in the rotator cuff. Compression at the suprascapular notch is often due to the presence of a SLAP tear and leads to pain, weakness, and atrophy of both the supraspinatus and infraspinatus muscles. Compression of the SSN at the spinoglenoid notch leads to weakness and atrophy of the infraspinatus only. Arthroscopic decompression of cysts with repair of labral pathology is typically performed in a sublabral fashion, which may make visualization of the extent of the cyst difficult and places the SSN at increased risk. With any approach, an intimate knowledge of the anatomy of the SSN is vital to safe decompression. We present a surgical technique for decompression of paralabral cysts using an intra-articular transcapsular approach. This approach maximizes visualization and efficiency and reduces possible damage to the SSN.

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“…Most authors agree that arthroscopic intra-articular cyst decompression with labral repair is effective and has good clinical outcomes and have reported a high recurrence rate if the labral tear is not repaired, which indicates a strong association of the cyst with SLAP lesion. 4 , 6 , 7 , 10 , 11 Another reported approach to decompress the cyst is through the subacromial space when the cyst is extending superiorly. 12 However, this technique requires thorough bursectomy and has the possible risk of injury to the SSN or coracoclavicular ligament by aggressive soft tissue dissection and also has the possibility of failure to diagnose a concomitant labral tear.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Intra-articular Spinoglenoid Cyst Resection Following SLAP Repair

Sreehari

Varshney

Yoo

et al. 2017

Arthroscopy Techniques

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Spinoglenoid cyst (SGC) is a ganglion arising in the spinoglenoid notch and is thought to be related to SLAP lesion. This cyst often compresses the suprascapular nerve in the spinoglenoid notch. Symptomatic cysts require surgical treatment when conservative treatment fails. In particular, arthroscopic decompression through the torn labral tissue when the cyst is extending into the joint cavity is easy and convenient. However, if the cyst is confined to the spinoglenoid notch, arthroscopic approach through the torn labral tissue is challenging. Thus, we present our preferred technique of addressing the SGC through an additional superior capsular window after completing SLAP repair. We believe that our technique is easy, reproducible, and reasonable.

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Greater Strength Increase with Cyst Decompression and SLAP Repair than SLAP Repair Alone

Abstract: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Cited by 37 publications

References 13 publications

Latarjet Procedure on Anterior Shoulder Instability in Professional Soccer Players

Latarjet Procedure on Anterior Shoulder Instability in Professional Soccer Players

Transcapsular Decompression of Shoulder Ganglion Cysts

Arthroscopic Intra-articular Spinoglenoid Cyst Resection Following SLAP Repair

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