ARTHROSCOPIC TREATMENT OF SNYDER II TYPE OF SUPERIOR LABRUM ANTERIOR AND POSTERIOR INJURY BY ABSORBABLE ANCHORS THROUGH ANTERIOR AND POSTERIOR APPROACH_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YUANFeng , CAIJunfeng , ZHOUWei , MAMin , WUQiang , LUOShulin ,  YINFeng

Department of Joint Surgery and Bone Disease, Shanghai East Hospital, Tongji University, Shanghai, 200120, P. R. China;

Corresponding author：

YINFeng, Email: dryinfeng@163.com

Keywords：

Superior labrum anterior and posterior injury; Arthroscope; Absorbable anchor; Anterior and posterior approach

DOI：

10.7507/1002-1892.20140042

Video：

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Objective To evaluate the effectiveness of arthroscopic treatment of superior labrum anterior and posterior (SLAP) injury by absorbable anchors through anterior and posterior approach. Methods Between January 2010 and August 2012, 28 patients with Snyder II type of SLAP injury underwent arthroscopic operation by absorbable anchors through anterior and posterior approach. There were 15 males and 13 females, aged from 30 to 45 years (mean, 36.5 years). The left shoulder was involved in 12 cases and the right shoulder in 16 cases. All patients had a clear history of trauma. The disease duration ranged from 2 weeks to 3 years (median, 13 months). The results of O'Brien test and Speed test were positive in 25 cases and 26 cases respectively. Shoulder pain visual analogue scale (VAS) was 7.6±1.4. The Constant score of shoulder joint function was 60.2±4.3. Results Operation was successfully completed, and the incision healed well in all cases, with no complication. The follow-up time ranged from 12 to 36 months (mean, 24.5 months). The symptoms of shoulder joint interlocking, snapping, and instability disappeared. The joint pain was significantly improved. At 12 months after surgery, Constant score of shoulder joint function was 92.7±4.5, showing significant difference when compared with preoperative score (t=-30.279, P=0.000); the shoulder pain VAS score was 1.1±0.9, showing significant difference when compared with preoperative score (t=23.810, P=0.000). At 1 year after operation, MRI examination showed complete healing in 25 cases, and high signal in 3 cases, but the pain and activity were significantly improved. Conclusion Arthroscopic treatment of SLAP injury by absorbable anchors through anterior and posterior approach has the advantages of less injury, small incision, and quick recovery, so it is an ideal operation method.

Citation： YUANFeng, CAIJunfeng, ZHOUWei, MAMin, WUQiang, LUOShulin, YINFeng. ARTHROSCOPIC TREATMENT OF SNYDER II TYPE OF SUPERIOR LABRUM ANTERIOR AND POSTERIOR INJURY BY ABSORBABLE ANCHORS THROUGH ANTERIOR AND POSTERIOR APPROACH. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(2): 197-200. doi: 10.7507/1002-1892.20140042 Copy

1.	Park JY,Chung SW,Jeon SH,et al.Clinical and radiological outcomes of type 2 superior labral anterior posterior repairs in elite overhead athletes.Am J Sports Med,2013,41(6):1372-1379.
2.	Ok JH,Kim YS,Kim JM,et al.A new technique of arthroscopic fixation using double anchors for SLAP lesions.Knee Surg Sports Traumatol Arthrosc,2012,20(10):1939-1946.
3.	Silberberg JM,Moya-Angeler J,Martín E,et al.Vertical versus horizontal suture configuration for the repair of isolated type Ⅱ SLAP lesion through a single anterior portal:a randomized controlled trial.Arthroscopy,2011,27(12):1605-1613.
4.	Onyekwelu I,Khatib O,Zuckerman JD,et al.The rising incidence of arthroscopic superior labrum anterior and posterior (SLAP) repairs.J Shoulder Elbow Surg,2012,21(6):728-731.
5.	Boesmueller S,Mayerhofer S,Huf W,et al.Short-term clinical results after arthroscopic type Ⅱ SLAP repair.Wien Klin Wochenschr,2012,124(11-12):370-376.
6.	Snyder SJ,Karzel RP,Del Pizzo W,et al.SLAP lesions of the shoulder.Arthroscopy,1990,6(4):274-279.
7.	Constant CR,Murley AH.A clinical method of functional assessment of the shoulder.Clin Orthop Relat Res,1987,(214):160-164.
8.	Maier D,Jaeger M,Ogon P,et al.Suture anchors or transglenoidal sutures for arthroscopic repair of isolated SLAP-2 lesions? A matched-pair comparison of functional outcome and return to sports.Arch Orthop Trauma Surg,2013,133(2):227-235.
9.	Uggen C,Wei A,Glousman RE,et al.Biomechanical comparison of knotless anchor repair versus simple suture repair for type Ⅱ SLAP lesions.Arthroscopy,2009,25(10):1085-1092.
10.	Lehmann LJ,Moursy M,Lederer C.Is the patient age a negative predictive factor in the reconstruction of SLAP lesions? Sportverletz Sportschaden,2012,26(2):109-113.
11.	Schrøder CP,Skare O,Gjengedal E,et al.Long-term results after SLAP repair:a 5-year follow-up study of 107 patients with comparison of patients aged over and under 40 years.Arthroscopy,2012,28(11):1601-1607.
12.	Kanatli U,Ozturk BY,Bolukbasi S.Arthroscopic repair of type Ⅱ superior labrum anterior posterior (SLAP) lesions in patients over the age of 45 years:a prospective study.Arch Orthop Trauma Surg,2011,131(8):1107-1113.
13.	Gorantla K,Gill C,Wright RW.The outcome of type Ⅱ SLAP repair:a systematic review.Arthroscopy,2010,26(4):537-545.
14.	Cho HL,Lee CK,Hwang TH,et al.Arthroscopic repair of combined Bankart and SLAP lesions:operative techniques and clinical results.Clin Orthop Surg,2010,2(1):39-46.
15.	Friel NA,Karas V,Slabaugh MA,et al.Outcomes of type Ⅱ superior labrum,anterior to posterior (SLAP) repair:prospective evaluation at a minimum two-year follow-up.J Shoulder Elbow Surg,2010,19(6):859-867.
16.	Pillai G,Baynes JR,Gladstone J,et al.Greater strength increase with cyst decompression and SLAP repair than SLAP repair alone.Clin Orthop Relat Res,2011,469(4):1056-1060.
17.	Kim DS,Park HK,Park JH,et al.Ganglion cyst of the spinoglenoid notch:comparison between SLAP repair alone and SLAP repair with cyst decompression.J Shoulder Elbow Surg,2012,21(11):1456-1463.
18.	Kaisidis A,Pantos P,Heger H,et al.Arthroscopic fixation of isolated type Ⅱ SLAP lesions using a two-portal technique.Acta Orthop Belg,2011,77(2):160-166.

1. Park JY,Chung SW,Jeon SH,et al.Clinical and radiological outcomes of type 2 superior labral anterior posterior repairs in elite overhead athletes.Am J Sports Med,2013,41(6):1372-1379.
2. Ok JH,Kim YS,Kim JM,et al.A new technique of arthroscopic fixation using double anchors for SLAP lesions.Knee Surg Sports Traumatol Arthrosc,2012,20(10):1939-1946.
3. Silberberg JM,Moya-Angeler J,Martín E,et al.Vertical versus horizontal suture configuration for the repair of isolated type Ⅱ SLAP lesion through a single anterior portal:a randomized controlled trial.Arthroscopy,2011,27(12):1605-1613.
4. Onyekwelu I,Khatib O,Zuckerman JD,et al.The rising incidence of arthroscopic superior labrum anterior and posterior (SLAP) repairs.J Shoulder Elbow Surg,2012,21(6):728-731.
5. Boesmueller S,Mayerhofer S,Huf W,et al.Short-term clinical results after arthroscopic type Ⅱ SLAP repair.Wien Klin Wochenschr,2012,124(11-12):370-376.
6. Snyder SJ,Karzel RP,Del Pizzo W,et al.SLAP lesions of the shoulder.Arthroscopy,1990,6(4):274-279.
7. Constant CR,Murley AH.A clinical method of functional assessment of the shoulder.Clin Orthop Relat Res,1987,(214):160-164.
8. Maier D,Jaeger M,Ogon P,et al.Suture anchors or transglenoidal sutures for arthroscopic repair of isolated SLAP-2 lesions? A matched-pair comparison of functional outcome and return to sports.Arch Orthop Trauma Surg,2013,133(2):227-235.
9. Uggen C,Wei A,Glousman RE,et al.Biomechanical comparison of knotless anchor repair versus simple suture repair for type Ⅱ SLAP lesions.Arthroscopy,2009,25(10):1085-1092.
10. Lehmann LJ,Moursy M,Lederer C.Is the patient age a negative predictive factor in the reconstruction of SLAP lesions? Sportverletz Sportschaden,2012,26(2):109-113.
11. Schrøder CP,Skare O,Gjengedal E,et al.Long-term results after SLAP repair:a 5-year follow-up study of 107 patients with comparison of patients aged over and under 40 years.Arthroscopy,2012,28(11):1601-1607.
12. Kanatli U,Ozturk BY,Bolukbasi S.Arthroscopic repair of type Ⅱ superior labrum anterior posterior (SLAP) lesions in patients over the age of 45 years:a prospective study.Arch Orthop Trauma Surg,2011,131(8):1107-1113.
13. Gorantla K,Gill C,Wright RW.The outcome of type Ⅱ SLAP repair:a systematic review.Arthroscopy,2010,26(4):537-545.
14. Cho HL,Lee CK,Hwang TH,et al.Arthroscopic repair of combined Bankart and SLAP lesions:operative techniques and clinical results.Clin Orthop Surg,2010,2(1):39-46.
15. Friel NA,Karas V,Slabaugh MA,et al.Outcomes of type Ⅱ superior labrum,anterior to posterior (SLAP) repair:prospective evaluation at a minimum two-year follow-up.J Shoulder Elbow Surg,2010,19(6):859-867.
16. Pillai G,Baynes JR,Gladstone J,et al.Greater strength increase with cyst decompression and SLAP repair than SLAP repair alone.Clin Orthop Relat Res,2011,469(4):1056-1060.
17. Kim DS,Park HK,Park JH,et al.Ganglion cyst of the spinoglenoid notch:comparison between SLAP repair alone and SLAP repair with cyst decompression.J Shoulder Elbow Surg,2012,21(11):1456-1463.
18. Kaisidis A,Pantos P,Heger H,et al.Arthroscopic fixation of isolated type Ⅱ SLAP lesions using a two-portal technique.Acta Orthop Belg,2011,77(2):160-166.

Chinese Journal of Reparative and Reconstructive Surgery

ARTHROSCOPIC TREATMENT OF SNYDER II TYPE OF SUPERIOR LABRUM ANTERIOR AND POSTERIOR INJURY BY ABSORBABLE ANCHORS THROUGH ANTERIOR AND POSTERIOR APPROACH

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