Arthroscopic repair of inferior glenoid labrum tears (Down Under lesions) produces similar outcomes to other glenoid tears

2021 ◽  
Author(s):  
Richard S. Page ◽  
James A. Fraser-Moodie ◽  
Grant Bayne ◽  
Tyler Mow ◽  
Stephen Lane ◽  
...  
Keyword(s):  
Arthroscopic Repair ◽  
Glenoid Labrum

Arthroscopic Repair of Circumferential Lesions of the Glenoid Labrum

2010 ◽  
Vol 92 (Suppl 1) ◽  
pp. 130-144 ◽  
Author(s):  
LT John M Tokish ◽  
MAJ Colleen M McBratney ◽  
CDR Daniel J Solomon ◽  
LT Lance LeClere ◽  
LCDR Christopher B Dewing ◽  
...  
Keyword(s):  
Arthroscopic Repair ◽  
Glenoid Labrum

Arthroscopic Repair of Circumferential Lesions of the Glenoid Labrum

2009 ◽  
Vol 91 (12) ◽  
pp. 2795-2802 ◽  
Author(s):  
LT John M Tokish ◽  
MAJ Colleen M McBratney ◽  
CDR Daniel J Solomon ◽  
LT Lance LeClere ◽  
LCDR Christopher B Dewing ◽  
...  
Keyword(s):  
Arthroscopic Repair ◽  
Glenoid Labrum

Outcomes of Arthroscopic Repair of Panlabral Tears of the Glenohumeral Joint

2012 ◽  
Vol 40 (11) ◽  
pp. 2561-2568 ◽  
Author(s):  
Eric T. Ricchetti ◽  
Michael C. Ciccotti ◽  
Daniel F. O’Brien ◽  
Matthew J. DiPaola ◽  
Peter F. DeLuca ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Glenohumeral Joint ◽  
Case Series ◽  
Arthroscopic Repair ◽  
Labral Repair ◽  
Glenoid Labrum ◽  
Superior Labrum ◽  
Shoulder Score ◽  
Anterior Posterior

Background: Combined lesions of the glenoid labrum involving tears of the anterior, posterior, and superior labrum have been infrequently reported in the literature. Purpose: To evaluate the clinical outcomes of arthroscopic repair of these lesions in a general population using validated scoring instruments, presence of complications, and need for revision surgery. Study Design: Case series; Level of evidence, 4. Methods: Fifty-eight patients who had arthroscopic labral repair of tears involving the anterior, posterior, and superior labrum (defined as a panlabral repair) were identified at our institution by retrospective review. All patients underwent arthroscopic labral repair with suture anchor fixation by a uniform approach and with a standardized postoperative protocol. Forty-four patients had a minimum 16-month postoperative follow-up. Outcomes were assessed postoperatively by the American Shoulder and Elbow Surgeons (ASES) score and the Penn Shoulder score. Complications were also documented, including need for revision surgery. Results: The mean age at the time of surgery was 32 years (range, 15-55 years) in the 44 patients. Presenting shoulder complaints included pain alone (40%), instability alone (14%), or pain and instability (45%). Mean number of anchors per repair was 7.9 (range, 5-12). Mean follow-up was 42 months (range, 16-78 months). Mean ± standard deviation ASES score at final follow-up was 90.1 ± 17.7 (range, 22-100), and mean Penn Shoulder score was 90.2 ± 15.3 (range, 38-100). Three of the 4 patients with outcome scores of 70 or less at final follow-up had undergone prior surgery. Thirteen postoperative complications (30%) occurred, with 3 (7%) requiring a second surgery. Five patients (11%) had an instability event following panlabral repair, but only 1 of these patients (2%) required revision surgery for a recurrent labral tear. Conclusion: Combined tears of the anterior, posterior, and superior glenoid labrum represent a small but significant portion of labral injuries. Arthroscopic repair of these injuries can be performed with good postoperative outcomes and a low rate of recurrent labral injury.

scholarly journals The successful arthroscopic treatment of suprascapular intraneural ganglion cysts

2015 ◽  
Vol 39 (3) ◽  
pp. E11 ◽  
Author(s):  
Nikhil K. Prasad ◽  
Robert J. Spinner ◽  
Jay Smith ◽  
Benjamin M. Howe ◽  
Kimberly K. Amrami ◽  
...  
Keyword(s):  
High Resolution ◽  
Glenohumeral Joint ◽  
Suprascapular Nerve ◽  
Arthroscopic Repair ◽  
Open Approach ◽  
Intraneural Ganglion ◽  
Surgical Morbidity ◽  
Nerve Branch ◽  
Glenoid Labrum ◽  
Ganglion Cysts

OBJECT High-resolution magnetic resonance imaging (MRI) can distinguish between intraneural ganglion cysts and paralabral (extraneural) cysts at the glenohumeral joint. Suprascapular intraneural ganglion cysts share the same pathomechanism as their paralabral counterparts, emanating from a tear in the glenoid labrum. The authors present 2 cases to demonstrate that the identification and arthroscopic repair of labral tears form the cornerstone of treatment for intraneural ganglion cysts of the suprascapular nerve. METHODS Two patients with suprascapular intraneural ganglion cysts were identified: 1 was recognized and treated prospectively, and the other, previously reported as a paralabral cyst, was identified retrospectively through the reinter-pretation of high-resolution MR images. RESULTS Both patients achieved full functional recovery and had complete radiological involution of the intraneural ganglion cysts at the 3-month and 12-month follow-ups, respectively. CONCLUSIONS Previous reports of suprascapular intraneural ganglion cysts described treatment by an open approach to decompress the cysts and resect the articular nerve branch to the glenohumeral joint. The 2 cases in this report demonstrate that intraneural ganglion cysts, similar to paralabral cysts, can be treated with arthroscopic repair of the glenoid labrum without resection of the articular branch. This approach minimizes surgical morbidity and directly addresses the primary etiology of intraneural and extraneural ganglion cysts.

Variations of normal glenoid labrum

1989 ◽  
Vol 152 (1) ◽  
pp. 201-202 ◽  
Author(s):  
M Rafii ◽  
H Firooznia
Keyword(s):  
Glenoid Labrum

Arthroscopic Repair of the Hip Abductor Musculotendinous Unit: The Effect of Microfracture on Clinical Outcomes

2021 ◽  
pp. 036354652199967
Author(s):  
Baris Kocaoglu ◽  
Ahmet Emre Paksoy ◽  
Simone Cerciello ◽  
Matthieu Ollivier ◽  
Romain Seil ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Surgical Repair ◽  
Gluteus Medius ◽  
Arthroscopic Repair ◽  
Harris Hip Score ◽  
Level Of Evidence ◽  
Outcome Score ◽  
Significant Difference ◽  
Hip Abductor ◽  
Tendon Tears

Background: Endoscopic surgical repair has become a common procedure for treating patients with hip abductor tendon tears. Considering that retear rates are high after the repair of gluteus medius and minimus tendons, exploring alternative strategies to enhance structural healing is important. Purpose/Hypothesis: The purpose of this study was to evaluate the effect of adding microfracture to single-row repair (SR) on outcomes after the surgical repair of gluteus medius and minimus tendons and compare with SR and double-row repair (DR) without microfracture. We hypothesized that microfracture of the trochanteric footprint with SR would lead to superior clinical outcomes and lower clinically evident retear rates compared with SR and DR without the addition of microfracture. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 50 patients who underwent primary arthroscopic repair of hip gluteus medius and minimus tendon tears were investigated. Patients were divided into 3 groups: DR, 16 patients; SR, 14 patients; and SR with microfracture (SRM), 20 patients. Patients were evaluated with a visual analog scale (VAS) for pain as well as the Hip Outcome Score–Activities of Daily Living (HOS-ADL), Hip Outcome Score–Sport Specific (HOS-SS), and modified Harris Hip Score (mHHS) both preoperatively and at a minimum 2-year follow-up (mean, 30 months). Results: Among the SR, SRM, and DR groups, the greatest decrease in VAS scores and increase in mHHS, HOS-ADL, and HOS-SS scores were seen in the SRM group, and all the differences were significant ( P < .001 to P = .006). The abductor tendon retear rates were 31.3%, 35.7%, and 15.0% in the DR, SR, and SRM groups, respectively. Retear rates were lower in the SRM group compared with the SR and DR groups ( P = .042); however, there was no significant difference between the SR and DR groups ( P = .32) in terms of retear rates. Conclusion: Endoscopic SR with microfracture was a safe, practical, and effective technique and had the potential advantage of enhancing biological healing at the footprint. The addition of microfracturing the trochanteric footprint significantly lowered the retear rate and provided better functional outcomes than SR and DR without microfracture.

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