Cargando…

Superior Labrum Anterior Posterior Lesions and Associated Injuries: Return to Play in Elite Athletes

BACKGROUND: Superior labrum anterior posterior (SLAP) lesions often cause shoulder pain, dysfunction, and instability. Professional athletes require a high level of shoulder function for competition and overhead activities. PURPOSE: To evaluate elite athletes who had arthroscopic surgery for common...

Descripción completa

Detalles Bibliográficos
Autores principales: Beyzadeoglu, Tahsin, Circi, Esra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2015
Materias:
10
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622337/
https://www.ncbi.nlm.nih.gov/pubmed/26665050
http://dx.doi.org/10.1177/2325967115577359
_version_ 1782397579293622272
author Beyzadeoglu, Tahsin
Circi, Esra
author_facet Beyzadeoglu, Tahsin
Circi, Esra
author_sort Beyzadeoglu, Tahsin
collection PubMed
description BACKGROUND: Superior labrum anterior posterior (SLAP) lesions often cause shoulder pain, dysfunction, and instability. Professional athletes require a high level of shoulder function for competition and overhead activities. PURPOSE: To evaluate elite athletes who had arthroscopic surgery for common shoulder pathologies and SLAP lesions with a follow-up of more than 3 years. The associated intra-articular pathologies and return to play were documented. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Thirty-five shoulders in 34 elite athletes (4 women and 30 men; mean age, 25 years [range, 18-32 years]) had arthroscopic repair of SLAP lesions and accompanying Bankart or rotator cuff tears between January 2008 and November 2011. The documentation included patient symptoms, physical examination, radiological analysis with radiographs, and magnetic resonance imaging. Shoulder function was evaluated preoperatively and at follow-up using American Shoulder and Elbow Surgeons (ASES) and Kerlan Jobe Orthopaedic Clinic (KJOC) scores. The mean follow-up was 52 months. RESULTS: Isolated SLAP lesions were seen in 17.1% of patients, SLAP lesions and partial cuff tear occurred in 25.7%, associated Bankart lesions in 37.1%, full-thickness rotator cuff tears in 8.6%, Bankart and posterior labrum lesions in 8.6%, and Bankart and full-thickness rotator cuff tears in 2.9%. Return to play was a mean 6.4 ± 1.5 months. The mean postoperative ASES and KJOC scores were 89.6 ± 4.6 and 80.9 ± 6.8, respectively, compared with preoperative scores of 64.0 ± 7.2 and 50.5 ± 10.3 (t test, P < .01). CONCLUSION: The majority (88.2%) of professional athletes returned to their preinjury levels. SLAP lesions may frequently occur with Bankart lesions and rotator cuff tears. A high rate of return to sport at the same level of athletic performance can be achieved by anatomic repair and effective rehabilitation.
format Online
Article
Text
id pubmed-4622337
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-46223372015-12-10 Superior Labrum Anterior Posterior Lesions and Associated Injuries: Return to Play in Elite Athletes Beyzadeoglu, Tahsin Circi, Esra Orthop J Sports Med 10 BACKGROUND: Superior labrum anterior posterior (SLAP) lesions often cause shoulder pain, dysfunction, and instability. Professional athletes require a high level of shoulder function for competition and overhead activities. PURPOSE: To evaluate elite athletes who had arthroscopic surgery for common shoulder pathologies and SLAP lesions with a follow-up of more than 3 years. The associated intra-articular pathologies and return to play were documented. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Thirty-five shoulders in 34 elite athletes (4 women and 30 men; mean age, 25 years [range, 18-32 years]) had arthroscopic repair of SLAP lesions and accompanying Bankart or rotator cuff tears between January 2008 and November 2011. The documentation included patient symptoms, physical examination, radiological analysis with radiographs, and magnetic resonance imaging. Shoulder function was evaluated preoperatively and at follow-up using American Shoulder and Elbow Surgeons (ASES) and Kerlan Jobe Orthopaedic Clinic (KJOC) scores. The mean follow-up was 52 months. RESULTS: Isolated SLAP lesions were seen in 17.1% of patients, SLAP lesions and partial cuff tear occurred in 25.7%, associated Bankart lesions in 37.1%, full-thickness rotator cuff tears in 8.6%, Bankart and posterior labrum lesions in 8.6%, and Bankart and full-thickness rotator cuff tears in 2.9%. Return to play was a mean 6.4 ± 1.5 months. The mean postoperative ASES and KJOC scores were 89.6 ± 4.6 and 80.9 ± 6.8, respectively, compared with preoperative scores of 64.0 ± 7.2 and 50.5 ± 10.3 (t test, P < .01). CONCLUSION: The majority (88.2%) of professional athletes returned to their preinjury levels. SLAP lesions may frequently occur with Bankart lesions and rotator cuff tears. A high rate of return to sport at the same level of athletic performance can be achieved by anatomic repair and effective rehabilitation. SAGE Publications 2015-04-27 /pmc/articles/PMC4622337/ /pubmed/26665050 http://dx.doi.org/10.1177/2325967115577359 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by-nc-nd/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle 10
Beyzadeoglu, Tahsin
Circi, Esra
Superior Labrum Anterior Posterior Lesions and Associated Injuries: Return to Play in Elite Athletes
title Superior Labrum Anterior Posterior Lesions and Associated Injuries: Return to Play in Elite Athletes
title_full Superior Labrum Anterior Posterior Lesions and Associated Injuries: Return to Play in Elite Athletes
title_fullStr Superior Labrum Anterior Posterior Lesions and Associated Injuries: Return to Play in Elite Athletes
title_full_unstemmed Superior Labrum Anterior Posterior Lesions and Associated Injuries: Return to Play in Elite Athletes
title_short Superior Labrum Anterior Posterior Lesions and Associated Injuries: Return to Play in Elite Athletes
title_sort superior labrum anterior posterior lesions and associated injuries: return to play in elite athletes
topic 10
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622337/
https://www.ncbi.nlm.nih.gov/pubmed/26665050
http://dx.doi.org/10.1177/2325967115577359
work_keys_str_mv AT beyzadeoglutahsin superiorlabrumanteriorposteriorlesionsandassociatedinjuriesreturntoplayineliteathletes
AT circiesra superiorlabrumanteriorposteriorlesionsandassociatedinjuriesreturntoplayineliteathletes