Browse > Article
http://dx.doi.org/10.5397/CiSE.2010.13.2.244

Evauation of Injury Mechanism and Clinical Outcome Between Non-Traumatic and Traumatic Type II Slap Lesions  

Kim, Yong-Ju (Department of Orthopedic Surgery, Red-Cross Hospital Seoul)
Jeong, Hoon (Department of Orthopedic Surgery, Red-Cross Hospital Seoul)
Ha, Jong-Kyoung (Department of Orthopedic Surgery, Red-Cross Hospital Seoul)
Lee, Kwan-Hee (Department of Orthopedic Surgery, Red-Cross Hospital Seoul)
Choi, Sung-Hyun (Department of Orthopedic Surgery, Red-Cross Hospital Seoul)
Publication Information
Clinics in Shoulder and Elbow / v.13, no.2, 2010 , pp. 244-249 More about this Journal
Abstract
Purpose: Our goal of this study was to compare the mechanism of injury and the clinical outcomes between the non-traumatic and traumatic type II SLAP lesions. Materials and Methods: From January 2007 to May 2009, the sunjects of this study were 27 patients who had undergone operations for isolated type II SLAP lesions. The lesions were classified according to Burkhart's method. The lesions that were located on the anterior-superior labrum were classified as type I, those lesions located on the posterior-superior labrum were classified as type II and those lesions located on the anterior-posterior labrum were classified as type III. The clinical outcomes were evaluated by the UCLA score and the KSS score preoperatively and postoperatively. Results: Of the 27 cases, 16 cases were traumatic and eleven cases were non-traumatic. In the traumatic group, there were 12, 2 and 2 cases of type I, type II and type III, respectively (p=0.013). In non-traumatic group, there were 2, 6 and 3 cases of type I, type II and type III (p=0.026). Anterior lesions were more frequent in the traumatic group and posterior lesions were more frequent in the non-traumatic group. For the clinical outcomes, the mean preoperative UCLA score and KSS score were 18 (range: 14~23) and 48 (range: 32~76), respectively, and the postoperative UCLA score and KSS score were 32 (range: 28~33) and 86 (range: 71~92), respectively, in the traumatic group, and the preoperative UCLA score and KSS score were 21 (18~25) and 58 (41~68), respectively, and the postoperative UCLA score and KSS score were 29 (26~31) and 81 (68~89), respectively in the non-traumatic group. There was no significant statistical difference of clinical outcomes between the two groups (p=0.317, 0.405). Conclusion: In this study, the anatomical feature of type II SLAP lesion was associated with a trauma mechanism. Therefore, a trauma mechanism must be considered when planning the surgical treatment for type II SLAP lesions.
Keywords
Shoulder joint; Type II SLAP lesions; Injury mechanism; Trauma;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Snyder SJ, Banas MP, Karzel RP: An analysis of 140 injuries to the superior glenoid labrum. J Shoulder Elbow Surg, 4: 243-248, 1995.   DOI   ScienceOn
2 Yoo JC, Ahn JH, Koh KH, Kim SY: The clinical outcome of arthroscopic repair of isolated type II SLAP lesion in non-athletics. J Korean Arthroscopy soc, 12: 185-190, 2008.
3 Andrews JR, Carson WG, Mcleod WD: Glenoid labrum tears related to the long head of the biceps. Am J Sports Med, 13: 337-340, 1985.   DOI   ScienceOn
4 Brockmeier SF, Voos JE, Williams RJ III, Altchek DW: Outcomes after arthroscopic repair of type-II SLAP lesions. J Bone Joint Surg Am, 91: 1595-1603, 2009.   DOI   ScienceOn
5 Burkhart SS, Morgan CD, Kibler WB: Shoulder injuries in overhead athletes. The “dead arm” revisited. Clin Sports Med, 19: 125-158, 2000.   DOI
6 Cohen DB, Coleman S, Drakos MC, Allen AA: Outcomes of isolated type II SLAP lesions treated with arthroscopic fixation using a bioabsorbable tack. Arthroscopy, 22: 136-142, 2006.   DOI   ScienceOn
7 Coleman SH, Cohen DB, Drakos MC: Arthroscopic repair of type II superior labral anterior and posterior lesions with and without acromioplasty: A clinical analysis of 50 patients. Am J Sports Med, 35: 749-753, 2007.   DOI
8 Kim SH, Ha KL, Kim SH, Choi HJ: Results of arthroscopic treatment of superior labral lesions. J Bone Joint Surg Am, 21: 981-985, 2002.
9 Huber WP, Putz RV: The periarticular fiber system (PAFS) of the shoulder joints. Arthroscopy, 13: 680-691, 1997.   DOI   ScienceOn
10 Kalyan G, Corey G, Rick WW: The outcome of type II SLAP repair: a systematic review. Arthroscopy, 26: 53-545, 2010.
11 Laurie MK, Stephanie H, Suzanne LM, John CR: Poor outcomes after SALP repair: Descriptive analysis and prognosis. Arthroscopy, 25: 849-855, 2009.   DOI   ScienceOn
12 Lee KW, Lee SH, Yang DH, Kam BS, Choy WS: Compariosn of superior labral anterior and posterior (SLAP) lesions: sports versus non-sports induced injury. J Korean Shoulder Elbow Soc, 10: 175-181, 2007.   DOI   ScienceOn
13 Maffet MW, Gartsman GM, Moseley B: Superior labrum-biceps tendon complex lesions of the shoulder. Am J Sports Med, 84: 93-98, 1995.
14 Morgan CD, Burkhart SS, Palmeri M, Gilespie M: Type II SLAP lesion: three subtypes and their releationship to superior instability and rotator cuff tears. Arthroscopy, 14: 553-565, 1998.   DOI   ScienceOn
15 Park JH, Lee YS, Wang JH, Noh HK, Kim JH: Outcome of the isolated SLAP lesions and analysis of the results according to the injury mechanism. Knee Surg Sports Trumatol Arthrosc, 16: 511-515, 2008.   DOI
16 Rhee YG, Lee DH, Lim CT: Unstable isolated SLAP lesion. Clinical presentation and outcome of arthroscopic fixation. Arthroscopy, 21: 1099, 2005.