Incidence Of SLAP Lesions In A Military Population

Kampa, RJ; Clasper, J

doi:10.1136/jramc-151-03-07

Cited by 44 publications

(43 citation statements)

References 19 publications

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“…This descriptive report of clinical and utilization outcomes may assist clinicians in understanding the typical patient response to postoperative physical therapy management. pression for impingement syndromes, 19 repair of instability conditions, 7,8,24 and fractures. Although most shoulder pain is related to disorders of the rotator cuff, such as impingement or cuff tears, uncertainty exists regarding the effectiveness of medical and surgical interventions.…”

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confidence: 99%

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Brennan

Parent²,

Cleland³

2010

J Orthop Sports Phys Ther

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provides homogenous categories of patients whose characteristics can be reported.The preponderance of literature that describes outcomes of surgical management for shoulder disorders relates to rotator cuff repair, 12,18 subacromial decomt he incidence of shoulder pain has been estimated at 11.2 per 1000 persons per year and ranks as the third most frequent musculoskeletal complaint of patients visiting a primary care provider. 35 The prevalence of shoulder pain in the general population ranges between 6.9% and 34%. 15The etiology and pathology of shoulder pain can be unclear, which often results in a lack of consensus regarding the appropriate classification of shoulder disorders. 15,35 However, once a patient undergoes a surgical procedure for shoulder pain, the categorization of the patient's shoulder problem is typically described on the basis of the surgical procedure itself. Grouping patients postoperatively on the basis of surgical intervention t studY dEsiGn: Retrospective cohort study. t MEthods: This study included 856 patients (43.7% female; mean  SD age, 51.8  14.2 years) who received outpatient physical therapy following shoulder surgery. Standardized methods for classification of patients to type of shoulder surgery and collection of outcome variables were used. Data were gathered from 57 therapists working in 12 clinics. Patients included had been classified into 1 of 4 surgical categories: repair of a unidirectional instability, rotator cuff repair, rotator cuff repair with a subacromial decompression, or subacromial decompression alone. Descriptive statistics were calculated for baseline characteristics of patients in each surgical category. For all patients, scores on the Disability of the Arm Shoulder and Hand (DASH) questionnaire and a numeric pain rating scale (NPRS) were obtained at the initial and final physical therapy visits, and the change between visits was calculated. Data on number of physical therapy sessions and length of stay (LOS) were collected. For each surgical category, independent-samples t tests were used to determine differences between genders for each initial and final clinical outcome of pain and disability, change scores, utilization of visits, and LOS. The percentage of patients who achieved a minimal clinically important difference (MCID) on the DASH was also determined for each surgical group. For each gender in each surgical category, paired t tests were used to determine if patients achieved significant change in pain and disability.t rEsults: Means for each clinical outcome for the initial and final pain and disability scores, change scores, and the percentage of patients that achieved an MCID are provided. Significant differences were observed between genders for clinical outcomes. In the group treated with unilateral instability repair, women reported significantly greater initial disability than men, and their DASH change scores were significantly greater. In the group that had rotator cuff repairs, women reported significantly greater disability initially a...

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confidence: 99%

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Brennan

Parent²,

Cleland³

2010

J Orthop Sports Phys Ther

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“…SLAP (Superior Labrum Anterior and Posterior) are superior labral tears that begin posteriorly and extend anteriorly to include the anchor of the long head of biceps. These lesions are more common in the military population [14] and are best visualised and repaired at the time of arthroscopy.…”

Section: Operative Proceduresmentioning

confidence: 99%

Management of Shoulder Instability in a Military Population

Pimple

DaCosta

2008

J R Army Med Corps

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Using our protocol 39 shoulder stabilisations were performed in military personnel. Of the shoulders, 25 (64%) underwent arthroscopic and 14 (36%) underwent open stabilisation. The indication for surgery was more than 2 episodes of shoulder dislocation. Open surgery was found to be more common in those who had their first dislocation at a younger age. Bilateral shoulder laxity was the most common indication to choose the open method. Both open and arthroscopic stabilisation gave good results in the high demand military population. Only one patient had recurrent instability after arthroscopic procedure. However, this was not statistically significant when compared with open stabilisation.

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“…Funk and Snow (4) evaluated the SLAP lesions in 51 rugby players, diagnosed by arthroscopy, noting an incidence of 35% in the population studied. Similarly, Kampa and Clasper (5) observed a 38.6%…”

Section: Introductionmentioning

confidence: 99%

Tradução para a língua portuguesa e adaptação cultural do questionário Rowe modificado para atletas arremessadores

Marcondes¹,

Vasconcelos²,

Marchetto³

et al. 2012

Rev. bras. ortop.

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The authors declare that there was no conflict of interest in conducting this work ABSTRACTObjetctive: Study was to translate and culturally adapt the modified Rowe score for overhead athletes. Methods: The translation and cultural adaptation process initially involved the stages of translation, synthesis, back-translation, and revision by the Translation Group. It was than created the pre-final version of the questionnaire, being the areas "function" and "pain" applied to 20 athletes that perform overhead movements and that suffered SLAP lesions in the dominant shoulder and the areas "active compression test and anterior apprehension test" and "motion" were applied to 15 health professionals. Results: During the translation process there were made little modifications in the questionnaire in order to adapt it to Brazilian culture, without changing the semantics and the idiomatic concept originally described. Conclusion: The questionnaire was easily understood by the subjects of the study, being possible to obtain the Brazilian version of the modified Rowe score for overhead athletes that underwent surgical treatment of the SLAP lesion.

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Incidence Of SLAP Lesions In A Military Population

Cited by 44 publications

References 19 publications

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Management of Shoulder Instability in a Military Population

Tradução para a língua portuguesa e adaptação cultural do questionário Rowe modificado para atletas arremessadores

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