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KMID : 0828620080120030158
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Journal of Korean Arthroscopy Society
2008 Volume.12 No. 3 p.158 ~ p.190
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The Clinical Outcomes of Arthroscopic Repair of Isolated type II SLAP Lesion in Non-athletes
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Yoo Jae-Chul
Ahn Jin-Hwan
Koh Kyoung-Hawn
Kim Seung-Yeon
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Abstract
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Purpose: The purpose of this study is to provide the clinical outcomes of arthroscopic type II SLAP repair in non-athletes, and to compare the clinical outcomes between those who had isolated type II SLAP lesion and those who had combined partial thickness supraspinatus tear that did not required a combined repair.
Materials and Method : From July 2005 to January 2007, 142 consecutive type II SLAP lesions were treated with arthroscopic surgery. The inclusion criteria for the study were; (1) younger than 50 years old; and (2) non-athletes. Exclusion criteria were; (1) prior surgery, fracture or combined recurrent dislocation history on the affected shoulder; (2) combined full thickness rotator cuff tear or PTST (>50% thickness) patient that needed repair; and (3) combined infection, arthritis or inflammatory disease. Remaining 19 patients meet the criteria. Among them, 13 had combined PTRCT that did not require repair (Group I), and 6 had isolated type II SLAP lesion without combined supraspinatus tear (Group II). The mean age was 36.7 years (29~49 years), mean symptom duration was 39.1 months (3~216 months) and mean follow-up was 19.0 months (12~27 months). In all patients, the range of motion of affected shoulder, pain and function visual analogue scale (PVAS, FVAS), the Constant score and UCLA score were evaluated preoperatively and postoperatively.
Results:In group I, external rotation at side was decreased significantly (p=0.003),but there were no statistical significant change at the remains(p>0.05). And there were no differences between groups (p>0.05). At the final follow-up, all clinical outcome measurements improved after surgery with statistical significance (p<0.05): UCLA score, 22.8±5.2 to 32.8±2.1; Constant score, 79.4±8.6 to 94.9±4.3; PVAS 5.4±2.7 to 1.1±1.4; FVAS 63.2±15.3 to 93.4±7.3. But, in group comparison of the mean UCLA score and Constant score, there were no statistical significant differences between two groups.
Conclusions:Arthroscopic repair of type II SLAP lesion provided good clinical outcomes in nonathletic population. Combined partial thickness supraspinatus tear does not seem to hamper the final outcome at minimal 1 year follow-up.
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KEYWORD
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Shoulder, Type II SLAP lesion, PTRCT, Arthroscopic type II SLAP repair, Nonathlete
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