Nonoperative Treatment of Superior Labrum Anterior Posterior Tears

Edwards, Sara L.; Lee, Jessica A.; Bell, John‐Erik; Packer, Jonathan D.; Ahmad, Christopher S.; Levine, William N.; Bigliani, Louis U.; Blaine, Theodore A.

doi:10.1177/0363546510370937

Cited by 158 publications

(85 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Multiple protocols have been described, but evidence regarding the exact indications, role, and effectiveness of the protocols is not clear. One study reported 49 % of patients had a positive outcome [ 72 ]. This study showed that a specifi c rehabilitation program can be an effective treatment in many DTS patients and should be implemented as the fi rst treatment options.…”

Section: Nonoperative Treatmentmentioning

confidence: 68%

The Overhead Athlete

Kibler

Kuhn

Sciascia

et al. 2013

Shoulder Arthroscopy

View full text Add to dashboard Cite

Section: Nonoperative Treatmentmentioning

confidence: 68%

The Overhead Athlete

Kibler

Kuhn

Sciascia

et al. 2013

Shoulder Arthroscopy

View full text Add to dashboard Cite

“…No studies have reported the results of nonsurgical treatment for SLAP lesions since 2009. In 2010, Edwards et al 6) showed that 10 out of 15 overhead-throwing athletes (66.7%) in a mixed patient population (recreational/competitive level) treated with a nonoperative regimen for a SLAP lesion were able to return to play at the same or better level than before the injury. Our results indicated that nonsurgical treatment (rehabilitation) for SLAP lesions in elite overhead athletes brought substantial improvements in clinical outcomes that are comparable with other studies using current operative treatments.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] In SLAP lesions, it has previously been reported that when nonsurgical treatment is unsuccessful in relieving symptoms, surgical repair may be necessary to successfully return these patients back to their sports activities, particularly overhead athletes. 6,7) Recently, various surgical treatments for SLAP lesions have been reported, ranging from debridement of the lesions (for types I and III) 8) to surgical repair (for types II and IV lesion). 5,9,10) Moreover, the surgical treatments of these various types of SLAP lesions differ from each other in terms of the fixation methods and operative devices, such as staples, metallic and absorbable suture anchors or tacks.…”

Section: Introductionmentioning

confidence: 99%

Return to Play of Elite Overhead Athletes with Superior Labral Anterior Posterior Tears only after Rehabilitation

Park¹,

Hong²,

Lee³

et al. 2017

Clinics in Shoulder and Elbow

View full text Add to dashboard Cite

Background: Although there have been multiple reports on surgical outcomes of superior labral anterior to posterior (SLAP) lesions in overhead athletes, only a few reports exist in the literature about the results of nonoperative treatment in elite (collegiate or professional) overhead athletes. To determine the clinical outcomes of nonoperative treatment of SLAP lesions in elite overhead athletes. Methods: Between January 2006 and December 2011, 69 patients were selected. Initial arthroscopic SLAP repair was performed in 19 patients and of the 50 patients who underwent nonsurgical treatment, such as range of motion gain and periscapular muscle strengthening, 14 patients were converted to surgical treatment; 5 patients were lost to follow-up. Medical records of 31 elite overhead athletes who underwent nonsurgical treatment were retrospectively reviewed. Four clinical outcome measures were used: visual analogue scale (VAS) for pain, VAS for satisfaction, American Shoulder and Elbow Surgeons (ASES) score, and subjective feeling of recovery. Results: The average follow-up period was 35.9 months (range, 24-62 months). The VAS for pain decreased from 6.5 to 2.2 (p<0.01) and VAS for satisfaction was 7.6. The ASES score increased from 54.1 to 85.9 (p<0.01). The overall average value of subjective feeling of recovery was 72%. Twenty-three out of 31 elite athletes (74.2%) returned to play after rehabilitation; these 23 athletes performed at the same or higher levels after rehabilitation. Conclusions: Nonsurgical treatment in elite overhead athletes with SLAP lesion should be considered as a treatment option. (Clin Shoulder Elbow 2017;20(2):77-83)

show abstract

“…There are, however, very few published findings with respect to the prevalence, duration, composition or efficacy of conservative treatment, and consequently there has been little evidence-based effort to optimize such treatments or to identify the characteristics of patients for whom these therapies are most effective and appropriate. A recent questionnaire-based survey of patients treated for SLAP tear indicated that conservative treatment was successful in approximately half (49 percent) of the patients [31]. For these patients, nonoperative therapy, including NSAIDs, posterior capsular stretching and a strengthening program, resulted in significant improvements in pain, function and quality of life.…”

Section: Treatmentmentioning

confidence: 99%

Prolotherapy: A Non-Invasive Approach to Lesions of the Glenoid Labrum; A Non-Controlled Questionnaire Based Study

Hauser¹,

Dolan

Orlofsky³

2013

TOREHJ

View full text Add to dashboard Cite

Lesions of the glenoid labrum are a common cause of shoulder instability and a frequent finding in patients with shoulder pain. Management of these patients typically involves an attempt to avoid surgery through conservative treatment. However, there is currently a dearth of conservative options that promote labral healing. Regenerative injection therapies, including prolotherapy, have shown promise in the treatment of several musculoskeletal disorders, but have not previously been applied to glenoid labral tear. Here we review several important aspects of these lesions and present an initial case series of 33 patients with labral tear that were treated in our clinic with intra-articular injections of hypertonic dextrose. Patient-reported assessments were collected by questionnaire at a mean follow-up time of 16 months. Treated patients reported highly significant improvements with respect to pain, stiffness, range of motion, crunching, exercise and need for medication. All 31 patients who reported pain at baseline experienced pain relief, and all 31 who reported exercise impairment at baseline reported improved exercise capability. Patients reported complete relief of 69% of recorded symptoms. One patient reported worsening of some symptoms. Prolotherapy for glenoid labral tear appears to be a safe procedure that merits further investigation.

show abstract

Nonoperative Treatment of Superior Labrum Anterior Posterior Tears

Cited by 158 publications

References 32 publications

The Overhead Athlete

The Overhead Athlete

Return to Play of Elite Overhead Athletes with Superior Labral Anterior Posterior Tears only after Rehabilitation

Prolotherapy: A Non-Invasive Approach to Lesions of the Glenoid Labrum; A Non-Controlled Questionnaire Based Study

Contact Info

Product

Resources

About