National Trends in the Repair of Isolated Superior Labral Tear from Anterior to Posterior in Korea

Abstract

Background: The optimal treatment for superior labral tear from anterior to posterior (SLAP) lesions is controversial. Thus, we aimed to investigate the national surgical trends in isolated SLAP repair in Korea. Methods: We analyzed a nationwide database from the Korean Health Insurance Review and Assessment Service from 2008 to 2017. We investigated the trends in SLAP repair by time, sex, age, and the type of health care institution. Results: From 2008 to 2017, 27,850 isolated SLAP repairs were identified. Age-adjusted incidence rate of isolated SLAP repair increased by 692% from 1.07/100,000 in 2008 to 8.48/100,000 in 2012 (P = 0.005). However, the incidence rate declined significantly after 2012 (P = 0.032) and was 5.28/100,000 in 2017. Sex-specific incidence rate of isolated SLAP repair was 2.3 times higher in men than in women. The decline since 2012 was most evident in patients aged ≥ 40 years (P = 0.01); however, the incidence rates of isolated SLAP repair during the study period were similar between patients aged ≥ 40 years and those aged < 40 years. Moreover, hospitals with 30-100 beds had the greatest change in the number of isolated SLAP repair cases. Conclusion: In Korea, the incidence of isolated SLAP repair increased dramatically until 2012; since then, it has declined. Although the decrease in isolated SLAP repair later in the study was evident in those aged ≥ 40 years, the incidence rate was still relatively high in patients aged ≥ 40 years.

Surgical Management of Superior Labral Tears in Athletes: Focus on Biceps Tenodesis

“… 6 Jo et al reported on isolated SLAP repairs in Korea and found that in the last ten years, the SLAP repair incidence rate was approximately 5–8 per 100,000. 17 While Jo et al do not report on the number of diagnoses, we can presume that the diagnosis of SLAP lesions is much higher than the number of SLAP repairs performed. The studies above do not precisely disclose the incidence of SLAP lesions in athletes.…”

Biomechanical Studies for Glenoid Based Labral Repairs With Suture Anchors Do Not Use Consistent Testing Methods: A Critical Systematic Review

“…9 If symptomatic repair with suture anchors is performed it predictably results in and good to excellent outcomes in over 80% of patients. [10][11][12] Over the past 30 years, numerous studies have reported on the influence of several biomechanical variables for suture anchors that are used to treat shoulder instability. [13][14][15][16][17][18] However, several authors have raised criticism that variation in testing methodology may not allow between study comparisons.…”

Posterior repair of isolated type 2 superior labrum anterior–posterior lesion prevents external rotation deficiency: long-term outcome study

“…Accordingly, the frequency of surgical treatment for this type of SLAP lesions has also increased [7]. However, type 2 SLAP lesion surgeries gradually shifted from arthroscopic repair to biceps tenodesis in the 2010s [7, 8, 15, 17, 21], since the surgical outcomes of arthroscopic SLAP repair failed to meet expectations, and different studies reported variable outcomes [7, 10, 13, 15, 16, 21, 32].…”