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This Article Full Text Full Text (PDF) All Versions of this Article: 35/7/1174    most recent 0363546507300062v1 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 Similar articles in ISI Web of Science Similar articles in PubMed 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 Voos, J. E. Articles by Warren, R. F. Search for Related Content PubMed PubMed Citation Articles by Voos, J. E. Articles by Warren, R. F. Related Collections Shoulder Arthroscopy

Outcomes of Combined Arthroscopic Rotator Cuff and Labral Repair

From Shoulder and Sports Medicine Service, Hospital for Special Surgery, New York, New York

^* Address correspondence to Russell F. Warren, MD, Hospital for Special Surgery, New York, NY 10021 (e-mail: warrenr{at}hss.edu).

Background: Rotator cuff tears, Bankart lesions, and superior labral anterior posterior lesions commonly occur in isolation, but there is a subgroup of patients who experience combined injuries. Prior studies have excluded such patients as confounding groups.

Hypothesis: In patients with combined lesions of the labrum and rotator cuff, arthroscopic repair of both lesions will restore range of motion and stability and provide good clinical results.

Study Design: Cohort study; Level of evidence, 3.

Methods: We retrospectively evaluated the clinical outcomes of a series of patients with combined rotator cuff and labral (Bankart or superior labral anterior posterior) lesions treated arthroscopically.

Results: Thirty patients (average age, 47.8 years) with combined rotator cuff and labral lesions were evaluated at a mean follow-up of 2.7 years (range, 24–54 months). Sixteen patients had Bankart lesions and 14 patients had SLAP lesions. Significant improvements in forward flexion (20.5°, P = .005), external rotation (9.0°, P = .008), and internal rotation (2 vertebral levels, P = .016) were observed. The mean L’Insalata and American Society of Shoulder and Elbow Surgeons scores for all patients were 92.9 and 94.3, respectively. Twenty-seven (90%) patients reported satisfaction as good to excellent, and 23 of 30 (77%) returned to their preinjury level of athletics. Two patients suffered recurrent rotator cuff tears.

Conclusion: In patients with rotator cuff and labral lesions, arthroscopic treatment of both lesions yields good clinical outcomes, restoration of motion, and a high degree of patient satisfaction.

Key Words: rotator cuff • Bankart • superior labral anterior posterior lesions • arthroscopy

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				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]