Superior Labrum Anterior to Posterior Lesion Type II with Accompanied Findings: Assessment of Shoulder MR Arthrographic Findings

2006 ◽  
Vol 55 (6) ◽  
pp. 613
Author(s):  
Sun Young Choi ◽  
Kyung Ah Chun ◽  
Oh Soo Kwon ◽  
Ki Tae Kim
Keyword(s):  
Type Ii ◽  
Superior Labrum ◽  
Lesion Type ◽  
Posterior Lesion

scholarly journals Arthroscopic repair of isolated type II superior labrum anterior–posterior lesion

2008 ◽  
Vol 16 (12) ◽  
pp. 1151-1157 ◽  
Author(s):  
Patrick Shu-Hang Yung ◽  
Daniel Tik-Pui Fong ◽  
Ming-Fat Kong ◽  
Chun-Kong Lo ◽  
Kwai-Yau Fung ◽  
...  
Keyword(s):  
Arthroscopic Repair ◽  
Type Ii ◽  
Superior Labrum ◽  
Posterior Lesion ◽  
Anterior Posterior

The Evaluation of Various Physical Examinations for the Diagnosis of Type II Superior Labrum Anterior and Posterior Lesion

2007 ◽  
Vol 36 (2) ◽  
pp. 353-359 ◽  
Author(s):  
Joo Han Oh ◽  
Jae Yoon Kim ◽  
Woo Sung Kim ◽  
Hyun Sik Gong ◽  
Ji Ho Lee
Keyword(s):  
Shoulder Arthroscopy ◽  
Lesion Group ◽  
Control Group ◽  
Clinical Test ◽  
Type Ii ◽  
Predictive Values ◽  
Superior Labrum ◽  
Posterior Lesion ◽  
Biceps Anchor ◽  
Physical Examinations

Background Many types of physical examinations have been used to diagnose superior labrum anterior and posterior lesions; no decisive clinical test is available for confirming the diagnosis. Hypothesis A selection from 10 well-established physical tests, alone or in combination, can be used to differentiate lesions with biceps anchor detachment from those with an intact biceps anchor with arthroscopic correlation. Study Design Case control study (diagnosis); Level of evidence, 3. Methods Among 297 patients who underwent shoulder arthroscopy between January 2004 and July 2005, 146 patients were enrolled in the study as a type II superior labrum anterior and posterior lesion group and an age-matched control group. Sensitivity, specificity, and predictive values of each test and all possible combinations of 2 and 3 tests were analyzed. The same procedures were repeated in patients younger than and older than 40 years. Results The sensitivities of the Whipple, O'Brien, apprehension, and compression-rotation tests and the specificities of the Yergason, biceps load II, and Kibler tests were relatively high. No single physical examination was found to be simultaneously highly sensitive and specific for the diagnosis of a type II superior labrum anterior and posterior lesion. When 2 of the 3 relatively sensitive tests (O'Brien, apprehension, or compression-rotation test) were combined with 1 of the 3 relatively specific tests (Speed, Yergason, or biceps load II test), sensitivity and specificity reached approximately 70% and 95%, respectively. Similar trends were noted in the younger and older patient groups and in the isolated type II superior labrum anterior and posterior lesion group. Conclusion The data suggest that some combinations of 2 relatively sensitive clinical tests and 1 relatively specific clinical test increase the diagnostic efficacy of superior labrum anterior and posterior lesions. Requiring 1 of the 3 chosen tests to be positive will result in a sensitivity of about 75%, whereas requiring all 3 to be positive will result in a specificity of about 90%.

Arthroscopic Capsulolabral Reconstruction of the Type VIII Superior Labrum Anterior Posterior Lesion

2007 ◽  
Vol 35 (9) ◽  
pp. 1477-1483 ◽  
Author(s):  
Shane Seroyer ◽  
Samir G. Tejwani ◽  
James P. Bradley
Keyword(s):  
Range Of Motion ◽  
Strength Function ◽  
Weight Lifting ◽  
Return To Sports ◽  
Glenohumeral Instability ◽  
Type Viii ◽  
Superior Labrum ◽  
Posterior Lesion ◽  
Capsulolabral Reconstruction ◽  
Anterior Posterior

Background A type VIII superior labrum anterior posterior lesion represents pathologic posteroinferior extension of a type II superior labrum anterior posterior lesion with injury to the insertion of the posterior band of the inferior glenohumeral ligament. No reports in the literature describe arthroscopic treatment of a type VIII superior labrum anterior posterior lesion and its associated glenohumeral instability. Hypothesis Arthroscopic capsulolabral reconstruction is effective in alleviating pain and restoring stability and function in athletes with glenohumeral instability due to the type VIII superior labrum anterior posterior lesion. Study Design Case series; Level of evidence, 4. Methods From 2003 to 2006, 23 shoulders in 23 athletes were diagnosed with a type VIII superior labrum anterior posterior lesion by physical examination, magnetic resonance arthrography, and arthroscopy. All were treated with an arthroscopic capsulolabral reconstruction. Ten patients were involved in rehabilitation less than 9 months after surgery and were not included in this study. Thirteen remaining shoulders in 13 athletes with a mean age of 27.8 ± 10.9 years were analyzed at a mean follow-up of 24 months. Shoulders were evaluated preoperatively and postoperatively using the American Shoulder and Elbow Surgeons scoring system and standard subjective scales for stability, strength, function, and range of motion. Results Athletes most commonly participated in sport at the recreational level (n = 8), followed by collegiate (n = 3) and high school (n = 2). The most common activity was weight lifting (n = 4). Eight athletes (62%) participated in contact sports, most commonly football and wrestling. Two patients (15%) had a partial-thickness articular-sided supraspinatus tendon tear that was debrided at the time of surgery. Mean American Shoulder and Elbow Surgeons score improved from 51.4 to 90.0 (P < .001). There were significant improvements in stability, pain, function, and range of motion based on standardized subjective scales (P < .001). No shoulder required revision surgery for recurrent instability. All patients were able to return to sports, with 9 (69%) able to return to their highest level before surgery. Conclusion Arthroscopic capsulolabral reconstruction is an effective and reliable treatment for glenohumeral instability due to a type VIII superior labrum anterior posterior lesion in the contact, noncontact, and throwing athlete. Successful postoperative return to sport is a reasonable expectation.

scholarly journals Arthroscopic Treatment of a Type II Superior Labrum Anterior to Posterior (SLAP) Lesion Combined with a Bankart Lesion: Comparative Study between Debridement and Repair of Type II SLAP Lesion by the Status of Lesion

2018 ◽  
Vol 21 (1) ◽  
pp. 37-41
Author(s):  
Sung Hyun Lee ◽  
Min Su Joo ◽  
Kyeong Hoon Lim ◽  
Jeong Woo Kim
Keyword(s):  
Range Of Motion ◽  
Case Series ◽  
Slap Lesion ◽  
Bankart Lesion ◽  
Visual Analogue Scale Pain ◽  
Type Ii ◽  
Slap Lesions ◽  
Superior Labrum ◽  
Significant Difference

BACKGROUND: The purpose of this study is to evaluate results of superior labrum anterior to posterior (SLAP) repairs and debridement of type II SLAP lesions combined with Bankart lesions.METHODS: Between 2010 and 2014, total 58 patients with anterior shoulder instability due to a Bankart lesion combined with a type II SLAP lesion were enrolled. Patients were divided into two groups: group C consisted of 30 patients, each with a communicated Bankart and type II SLAP lesion and group NC consisted of 28 patients, each with a non-communicated Bankart and type II SLAP lesion. Bankart repairs were performed for all patients. SLAP lesions were repaired in group C and debrided in group NC. Clinical results were analysed to compare groups C and NC by using the visual analogue scale pain score, American Shoulder and Elbow Surgeons score, Constant scores, Rowe score for instability and range of motion assessments.RESULTS: The clinical scores were improved in both groups at final follow-up. Also, there were no differences between two groups. No significant difference was found in terms of the range of motion measured at the last follow-up. The number of suture anchors used was significantly higher in group C than in group NC (5.6 vs. 3.8; p=0.021).CONCLUSIONS: In this study, it is considered that Bankart repair and SLAP debridement could be a treatment option in patients with a non-communicated type II SLAP lesion combined with a Bankart lesion (study design: IV, therapeutic study, case series).

Sign in / Sign up

Export Citation Format

Share Document