HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Cordasco, F. A. Articles by Bigliani, L. U. Search for Related Content PubMed Articles by Cordasco, F. A. Articles by Bigliani, L. U.

Arthroscopic treatment of glenoid labral tears

Shoulder Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York

Scott Steinmann, MD

Shoulder Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York

Evan L. Flatow, MD

Shoulder Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York

Louis U. Bigliani, MD

Shoulder Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York

We reviewed 52 consecutive patients who had under gone arthroscopic labral debridement. The average age was 29 and there were 35 men and 17 women. At operation, 27 patients had superior labrum anterior and posterior (SLAP) lesions, 20 patients had anteroinferior labral lesions, and 5 patients had posterior labral le sions.

Despite the fact that, preoperatively, none of these patients had a history of dislocations or clinically evident instability, 70% of the patients with superior labral lesions, and all of those with anteroinferior and posterior lesions had instability on examination under anesthesia. The average followup was 36 months. At 1 year after arthroscopy, 78% of the patients with superior lesions had excellent relief compared with 30% of the patients in the anteroinferior group. At 2 years followup, these results decreased to 63% and 25%, respectively, and only 45% of the patients with superior labral lesions and 25% of those with anteroinferior lesions had re turned to their previous athletic performance level. Four patients required a reoperation: 2 for instability and 2 for impingement. We conclude that occult instability is frequently present in patients with glenoid labral tears. The overall results are not encouraging, but this pro cedure may have an indication for short-term goals in competitive athletes or those who are willing to accept some compromise in function.

This article has been cited by other articles:

				J. Ide, S. Maeda, and K. Takagi Sports Activity After Arthroscopic Superior Labral Repair Using Suture Anchors in Overhead-Throwing Athletes Am. J. Sports Med., April 1, 2005; 33(4): 507 - 514. [Abstract] [Full Text] [PDF]

				P. A. Davidson and D. W. Rivenburgh Mobile Superior Glenoid Labrum: A Normal Variant or Pathologic Condition? Am. J. Sports Med., June 1, 2004; 32(4): 962 - 966. [Abstract] [Full Text] [PDF]

				E. K. Nam and S. J. Snyder Clinical Sports Medicine Update. The Diagnosis and Treatment of Superior Labrum, Anterior and Posterior (SLAP) Lesions Am. J. Sports Med., September 1, 2003; 31(5): 798 - 810. [Abstract] [Full Text] [PDF]

				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]

				J. Antoniou, D. T. Duckworth, and D. T. Harryman II Capsulolabral Augmentation for the Management of Posteroinferior Instability of the Shoulder J. Bone Joint Surg. Am., September 1, 2000; 82(9): 1220 - 1220. [Abstract] [Full Text]

				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]

				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]

				S.-H. Kim, K.-I. Ha, and K.-Y. Han Biceps Load Test: A Clinical Test for Superior Labrum Anterior and Posterior Lesions in Shoulders With Recurrent Anterior Dislocations Am. J. Sports Med., May 1, 1999; 27(3): 300 - 303. [Abstract] [Full Text] [PDF]

				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]

				B. Hintermann and A. Gachter Arthroscopic Findings After Shoulder Dislocation Am. J. Sports Med., September 1, 1995; 23(5): 545 - 551. [Abstract] [PDF]

				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]