Progression of function and pain relief as indicators for returning to sports after arthroscopic isolated type II SLAP repair—a prospective study

Boesmueller, Sandra; Tiefenboeck, Thomas M.; Hofbauer, Marcus; Bukaty, Adam; Oberleitner, Gerhard; Huf, Wolfgang; Fialka, Christian

doi:10.1186/s12891-017-1620-3

Cited by 14 publications

(23 citation statements)

References 33 publications

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“…Finally, 22 articles met the inclusion criteria of this review (Figure 1). [2][3][4][8][9][10][11][12][13][16][17][18]20,[23][24][25][27][28][29]33,37,38 The κ value for overall agreement between reviewers for the initial eligibility decision was 0.73 (95% CI, 0.61-0.85), indicating substantial agreement.…”

Section: Resultsmentioning

confidence: 99%

“…All studies included were case-control, 8,27,37 case series, 2,4,[9][10][11][12][13]16,18,20,24,25,28,29,33 or cohort studies 3,17,23,38 of level 2 to 4 evidence. There were no randomized controlled trials or level 1 studies included.…”

Section: Study Qualitymentioning

confidence: 99%

“…From the 17 studies reporting previous level of play, 69.0% (562/815) of patients were able to return to previous level of play. [2][3][4][8][9][10][11][12]13,16,18,20,23,27,29,33,38 Three studies 4,12,20 reported specifically on level of play of overhead athletes, and pooled results indicated 65.0% (39/60) return to previous level of sport for overhead athletes.…”

Section: Return To Sportmentioning

confidence: 99%

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Return to Sport After Arthroscopic Superior Labral Anterior-Posterior Repair: A Systematic Review

Thayaparan

Horner

et al. 2019

Sports Health

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Context: Superior labral anterior-posterior (SLAP) lesions often result in significant sporting limitations for athletes. Return to sport is a significant outcome that often needs to be considered by athletes undergoing the procedure. Objective: To evaluate return to sport among individuals undergoing arthroscopic SLAP repair. Data Sources: Four databases (MEDLINE, EMBASE, PubMed, and Cochrane) were searched from database inception through January 29, 2018. Study Selection: English-language articles reporting on return-to-activity rates after arthroscopic SLAP repairs were included. Study Design: Systematic review. Level of Evidence: Level 4. Data Extraction: Data including patient demographics, surgical procedure, and return to activity were extracted. The methodological quality of included studies was evaluated using the Methodological Index for Non-Randomized Studies (MINORS) tool. Results: Of 1938 screened abstracts, 22 articles involving a total of 944 patients undergoing arthroscopic SLAP repair met inclusion criteria. Of the total included patients, 270 were identified as overhead athletes, with 146 pitchers. Across all patients, 69.6% (657/944 patients) of individuals undergoing arthroscopic SLAP repair returned to sport. There was a 69.0% (562/815 patients) return to previous level of play, with a mean time to return to sport of 8.9 ± 2.4 months (range, 6.0-11.7 months). The return-to-sport rate for pitchers compared with the return-to-activity rate for nonpitchers, encompassing return to work and return to sport, was 57.5% (84/146 patients) and 87.1% (572/657 patients), respectively, after arthroscopic SLAP repair. Conclusion: Arthroscopic SLAP repair is associated with a fair return to sport, with 69.6% of individuals undergoing arthroscopic SLAP repair returning to sport. SLAP repair in pitchers has significantly decreased return to sport in comparison with nonpitching athletes. Athletes on average return to sport within 9 months postoperatively.

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Section: Resultsmentioning

confidence: 99%

Section: Study Qualitymentioning

confidence: 99%

Section: Return To Sportmentioning

confidence: 99%

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Return to Sport After Arthroscopic Superior Labral Anterior-Posterior Repair: A Systematic Review

Thayaparan

Horner

et al. 2019

Sports Health

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“…For example, Brockmeier et al [4] performed SLAP repair on Type II SLAP lesion patients with an average follow-up period of 2.7 years, and forty-one patients (87%) reported the outcome as good or excellent. Similarly, Boesmueller et al [5] found that arthroscopic SLAP repair resulted in acceptable functional outcomes, and half of the patients involved in competitive sports activity were able to return to their preinjury sports levels 6 months after surgery.…”

Section: Introductionmentioning

confidence: 88%

Effectiveness of biceps tenodesis versus SLAP repair for surgical treatment of isolated SLAP lesions: A systemic review and meta-analysis

Shaikh

Sun

et al. 2019

Journal of Orthopaedic Translation

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BackgroundType II superior labrum anterior and posterior (SLAP) lesions could induce chronic shoulder pain and impaired movement. Current management of Type II SLAP lesions consists of two well-established surgical procedures: arthroscopic biceps tenodesis and SLAP repair. However, which technique is preferred over the other is still a controversy.MethodsWe performed a systematic electronic database search on Cochrane Central Register of Controlled Trials, MEDLINE and Embase to identify articles equating superior labral repair with biceps tenodesis, which were reported before August 2017 which included the phrase “superior labral anterior posterior” or “SLAP.” The randomised controlled clinical trials that met our criteria were evaluated for quality of methodology. The results obtained were further analysed and correlated to present the benefits and drawbacks comparing the two SLAP repair surgical procedures.ResultBased on our inclusion and exclusion criteria, we identified five articles (204 patients) that were included in this meta-analysis. The results indicate that prevalence of patients return to preinjury sports level and the patients satisfaction were found to be significantly better in tenodesis group than in the SLAP repair group (p < 0.05). As for the patient age, VAS score, American Shoulder and Elbow Surgeons score, University of California at Los Angeles score, postoperative stiffness and reoperation rates, no significant differences were evident among the two groups, thus supporting the results reported in the current literatures (p > 0.05).ConclusionsBoth the surgical treatments, SLAP repair and the biceps tenodesis, are efficacious in pain alleviation and recovery of shoulder function. But, compared with SLAP repair, biceps tenodesis showed higher rate of patient satisfaction and return to preinjury sports participation.The translational potential of this articleImpart better understanding regarding discrepancies in the outcomes between biceps tenodesis and SLAP repair in treating patients with isolated Type II SLAP lesions.

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“…A total of 53 (85%) studies included ROM as an outcome; however, only 6 (10%) studies 12,17,18,31,60,72 described a standardized method of measuring ROM. We found that 4 studies 12,17,18,60 measured ROM as part of the Constant-Murley score, detailing plane of measurement, measurement tool, and position of participant during testing. Meller et al 72 measured ROM according to the principles of the American Shoulder and Elbow Surgeons.…”

Section: Range Of Motionmentioning

confidence: 99%

Outcome Measures After Shoulder Stabilization in the Athletic Population: A Systematic Review of Clinical and Patient-Reported Metrics

Fanning

Maher

Cools

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Athletic endeavor can require the “athletic shoulder” to tolerate significant load through supraphysiological range and often under considerable repetition. Outcome measures are valuable when determining an athlete’s safe return to sport. Few data are available to guide a clinician’s choice from the variety of measures available. Purpose: To describe the use of quantifiable objective outcome measures and patient-reported outcome tools after glenohumeral joint stabilization, specifically in an athletic population. The secondary aim of our study was to assess whether the method of measurement used was clearly described and standardized to aid clinical interpretation. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic search of MEDLINE, Scopus, SPORTDiscus, and Web of Science databases was performed in December 2018 based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. After the application of selection criteria, a full review of identified papers, and screening of reference lists, a total of 62 studies were included in the review. All studies were independently appraised for quality, predefined data fields were populated and cross-checked for accuracy, and results were then summarized from these data fields. Results: Of the 62 included studies, 94% used a quantifiable objective clinical outcome. A majority (85%) of the studies measured range of motion, 21% recorded muscle strength, 5% measured electromyographic activity, 5% examined shoulder kinematics, and 3% assessed joint proprioception after surgery. However, only 18% of the studies clearly described a standardized method of measuring the outcome. Nearly all (95%) of the studies used at least 1 patient-reported outcome measure. The Rowe score was most commonly used (35%). Conclusion: We must standardize and clearly describe the use of quantifiable objective outcome measures to aid clinical interpretation. A concerted effort should also be made to standardize the use of patient-reported outcome tools after shoulder stabilization in the athletic population.

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Progression of function and pain relief as indicators for returning to sports after arthroscopic isolated type II SLAP repair—a prospective study

Cited by 14 publications

References 33 publications

Return to Sport After Arthroscopic Superior Labral Anterior-Posterior Repair: A Systematic Review

Return to Sport After Arthroscopic Superior Labral Anterior-Posterior Repair: A Systematic Review

Effectiveness of biceps tenodesis versus SLAP repair for surgical treatment of isolated SLAP lesions: A systemic review and meta-analysis

Outcome Measures After Shoulder Stabilization in the Athletic Population: A Systematic Review of Clinical and Patient-Reported Metrics

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