Arthroscopic Repair of Type II SLAP Lesion with Bioabsorbable Knotless Suture Anchor: Surgical Technique and Clinical Results Lee, Chae-Chil; Kim, Sung-Jae; Hwang, Chang-Ho; Seo, Dong-Kyo; Ko, Sang-Hun;
Purpose: The purpose of this study was to evaluate the results of bioabsorbable knotless suture anchoring for isolated type II SLAP. Materials and Methods: Fourteen patients with isolated type II SLAP underwent a surgical repair with bioabsorbable knotless anchor arthroscopically. Instability, rotator cuff tears or simple subacromial decompression were excluded. The UCLA and pain of VAS (Visual Analogue Scale), ADL (Activity of Daily Living, from the American Shoulder and Elbow Society) were evaluated and patients underwent a thorough shoulder examination at a minimum follow-up period of 2 years postoperatively. Results: At a mean of 27.1 months follow-up. The mean UCLA score improved from 14.4 pre-operatively to 31.2 on last follow-up. The mean VAS for pain was 4.9 and on last follow-up 1.0. The mean VAS for instability was 2.6 and on last follow-up 0.5. The mean ADL was 10.4 and on last follow-up 25.0. 12 patients reported their satisfaction as good to excellent and 10 of the 14 patients returned to their pre-injury level of activity (athletics) (P<0.05). Conclusion: Arthroscopic repair with bioabsorbable knotless suture anchors is an effective surgical technique for the treatment of an isolated unstable type II SLAP lesion. Overall satisfaction was only 85.7%. 1 patient had severe stiffness and 1 patient had shoulder pain.
SLAP 병변 수술에 사용 가능한 새로운 V자 봉합 (Type II SLAP 병변의 관절경적 수술에 있어 새로운 V자 형태의 봉합술기와 기존의 방법과의 임상결과 비교),현윤석;신성일;강정우;안주현;
Clinics in Shoulder and Elbow, 2010. vol.13. 1, pp.14-19
Andrews JR, Carson WG, McLeod WD: Glenoid labrum tears related to the long head of the biceps. Am J Sports Med, 13: 338-341, 1985.
Cohen DB, Coleman S, Drakos MC, Allen AA, O'Brien SJ, Altchek DW, Warren RF: Outcomes of isolated type II SLAP lesions treatend with arthroscopic fixation using a bioabsorbabe tack. Arthroscopy, 22: 136-142, 2006.
DeJong LS, DeBerardino TM, Brooks DE, Judson K: In vivo comparison of a metal versus a biodegradable suture. Arthroscopy, 20: 511-516, 2005.
Ellman H, Hanker G, Bayer M: Repair of the rotator cuff. J Bone Joint Surg Am, 68: 1136-1144, 1986.
Garofalo R, Mocci A, Moretti B, Callari E, Giacomo G, Theumann N, Cikes A, Mouhsine E: Arthroscopic treatment of anterior shoulder instability using knotless suture anchors. Arthroscopy, 21: 1283-1289, 2005.
Kartus J, Kartus C, Brownlow H, Burrow G, Perko M: Repair of type-2 SLAP lesions using Corkscrew anchors. A preliminary report of the clinical results. Knee Surg Sports Traumatol Arthrosc, 12: 229-234, 2004.
Kartus J, Perko M: The disabled throwing shoulder: spectrum of pathology. Part II: evaluation and treatment of SLAP lesions in throwers. Arthroscopy, 20: 336, 2004.
Maffet MW, Gartsman GM, Moseley B: Superior labrum-biceps tendon complex lesions of the shoulder. Am J Sports Med, 23: 93-98, 1995.
Mihata T, McGarry MH, Tibone JE, Abe M, Lee TQ: Type II SLAP lesions: a new scoring system-the sulcus score. J Shoulder Elbow Surg, 14: 19-23, 2005.
Morgan CD, Burkhart SS, Palmeri M, et al: Type II SLAP lesions three subtypes and their relation to the superior instability and rotator cuff tears. Arthroscopy, 14: 553-565, 1998.
Nam EK, Snyder SJ: The diagnosis and treatment of superior labrum, anterior and posterior (SLAP) lesions. Am J Sports Med, 31: 798-810, 2003.
Nord KD, Masterson JP, Mauck BM: Superior labrum anterior posterior (SLAP) repair using the Neviaser portal. Arthroscopy, 20: 129-33, 2004.
Panossian VR, Mihata T, Tibone JE, Fitzpatrick MJ, McGarry MH, Lee TQ: Biomechanical analysis of isolated type II SLAP lesions and repair. J Shoulder Elbow Surg, 14: 529-534, 2005.
Research committee, American shoulder and elbow surgeons: Richard RR, An K, Bigliani LU, et al: A standardized method for the assessment of shoulder function. J shoulder Elbow Surg, 3: 347-352, 1994.
Rhee YG, Lee DH, Lim CT: Unstable isolated SLAP lesion: clinical presentation and outcome of arthroscopic fixation. Arthroscopy, 21: 1099, 2005.
Snyder SJ, Karzel RP, Del Pizzo W, et al: SLAP lesions of the shoulder. Arthroscopy, 6: 274-279, 1990.
Thal R: A Knotless suture anchor: Technique for use in arthroscopic Bankart repair. Arthroscopy, 17: 213-218, 2001.