AJSM Click here for details!
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Altchek, D. W.
Right arrow Articles by Ortiz, G.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Altchek, D. W.
Right arrow Articles by Ortiz, G.
The American Journal of Sports Medicine 20:702-706 (1992)
© 1992 SAGE Publications

Arthroscopic labral debridement

A three-year follow-up study

David W. Altchek, MD

Hospital for Special Surgery, New York, New York

Russell F. Warren, MD

Hospital for Special Surgery, New York, New York

Thomas L. Wickiewicz, MD

Hospital for Special Surgery, New York, New York

Gerald Ortiz, MD

Hospital for Special Surgery, New York, New York

This is a retrospective review of 40 patients who under went arthroscopic labral debridement of the shoulder. All patients were active participants in sports involving use of the shoulder. All patients presented with shoul der pain. Only 40% were found to have distinct gleno humeral instability on examination. At surgery, all pa tients had labral injury. Ten patients had anterosuperior labral tears, 20 had anteroinferior labral tears or de tachments, and 10 had posteroinferior labral tears or detachments.

Outcome was assessed at a minimum of 2 years (average, 43 months) postoperatively. Overall, only 7% of the patients had significant symptomatic relief at followup. However, 72% noted relief of symptoms dur ing the 1 st year after surgery, but there was deterio ration over time.

Conclusion: Arthroscopic labral debridement is not an effective long-term solution for symptomatic relief in the overhead athlete.




This article has been cited by other articles:


Home page
Am J Sports MedHome page
F. Franceschi, U. G. Longo, L. Ruzzini, G. Rizzello, N. Maffulli, and V. Denaro
No Advantages in Repairing a Type II Superior Labrum Anterior and Posterior (SLAP) Lesion When Associated With Rotator Cuff Repair in Patients Over Age 50: A Randomized Controlled Trial
Am. J. Sports Med., February 1, 2008; 36(2): 247 - 253.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
S. H. Coleman, D. B. Cohen, M. C. Drakos, A. A. Allen, R. J. Williams, S. J. O'Brien, D. W. Altchek, and R. F. Warren
Arthroscopic Repair of Type II Superior Labral Anterior Posterior Lesions With and Without Acromioplasty: A Clinical Analysis of 50 Patients
Am. J. Sports Med., May 1, 2007; 35(5): 749 - 753.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Roentgenol.Home page
G. A. Tung and D. D. Hou
MR Arthrography of the Posterior Labrocapsular Complex: Relationship with Glenohumeral Joint Alignment and Clinical Posterior Instability
Am. J. Roentgenol., February 1, 2003; 180(2): 369 - 375.
[Abstract] [Full Text] [PDF]


Home page
JBJSHome page
S.-H. Kim, K.-I. Ha, S.-H. Kim, and H.-J. Choi
Results of Arthroscopic Treatment of Superior Labral Lesions
J. Bone Joint Surg. Am., June 1, 2002; 84(6): 981 - 985.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
K. Meister
Injuries to the Shoulder in the Throwing Athlete: Part Two: Evaluation/Treatment
Am. J. Sports Med., July 1, 2000; 28(4): 587 - 601.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
K. Meister
Injuries to the Shoulder in the Throwing Athlete: Part One: Biomechanics/Pathophysiology/Classification of Injury
Am. J. Sports Med., March 1, 2000; 28(2): 265 - 275.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
L. Z. Payne, D. W. Altchek, E. V. Craig, and R. F. Warren
Arthroscopic Treatment of Partial Rotator Cuff Tears in Young Athletes: A Preliminary Report
Am. J. Sports Med., June 1, 1997; 25(3): 299 - 305.
[Abstract] [PDF]


Home page
Am J Sports MedHome page
S. H. Liu, M. H. Henry, and S. L. Nuccion
A Prospective Evaluation of a New Physical Examination in Predicting Glenoid Labral Tears
Am. J. Sports Med., December 1, 1996; 24(6): 721 - 725.
[Abstract] [PDF]


Home page
Am J Sports MedHome page
S. H. Liu, M. H. Henry, S. Nuccion, M. S. Shapiro, and F. Dorey
Diagnosis of Glenoid Labral Tears: A Comparison Between Magnetic Resonance Imaging and Clinical Examinations
Am. J. Sports Med., March 1, 1996; 24(2): 149 - 154.
[Abstract] [PDF]


Home page
Am J Sports MedHome page
D. R. Martin and W. P. Garth Jr.
Results of Arthroscopic Debridement of Glenoid Labral Tears
Am. J. Sports Med., July 1, 1995; 23(4): 447 - 451.
[Abstract] [PDF]


Home page
Am J Sports MedHome page
M. W. Maffet, G. M. Gartsman, and B. Moseley
Superior Labrum-Biceps Tendon Complex Lesions of the Shoulder
Am. J. Sports Med., January 1, 1995; 23(1): 93 - 98.
[Abstract] [PDF]


Home page
Am J Sports MedHome page
G. C. Terry, S. J. Friedman, and T. L. Uhl
Arthroscopically Treated Tears of the Glenoid Labrum: Factors Influencing Outcome
Am. J. Sports Med., July 1, 1994; 22(4): 504 - 512.
[Abstract] [PDF]


Home page
Am J Sports MedHome page
F. A. Cordasco, S. Steinmann, E. L. Flatow, and L. U. Bigliani
Arthroscopic treatment of glenoid labral tears
Am. J. Sports Med., June 1, 1993; 21(3): 425 - 431.
[Abstract] [PDF]




HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1992 by the American Orthopaedic Society for Sports Medicine.