SA Orthopaedic Journal
On-line version ISSN 2309-8309
Print version ISSN 1681-150X
JIMENEZ-MARTIN, A et al. SLAP lesions: Clinical experience of 63 cases. SA orthop. j. [online]. 2013, vol.12, n.2, pp.32-37. ISSN 2309-8309.
BACKGROUND: Superior Labrum Anterior and Posterior injuries or SLAP injuries have a frequency of 3.9% to 12%, and up to 35% in contact sportsmen. Our purpose is to check this pathology in our centre and to value clinical and working final results after its treatment. MATERIAL AND METHODS: An observational, descriptive and retrospective study of 63 patients. Medium age, sex, laterality, profession, type of SLAP, associated injuries, surgical techniques, complications, and Rowe, Constant and UCLA tests among other data, are analysed. RESULTS: 89% men, 11% women. Median age 45.3 ± 9.8 years. Right shoulders: 68%; left 32%. Intra-operative data: predominant SLAP type was type II (59.5%). We achieved subacromial decompression in 43.5% of cases. Rowe's test: 84.5 ± 18.3 points; Constant's test 72 ± 20.4 points; UCLA test: 29.5 ± 9.1 points. CONCLUSION: SLAP injuries constitute an important reason for shoulder pain in the labour world, although it is probably unsuspected. Treatment by means of shoulder arthroscopy with bioabsorbable bioknotless anchors is successful in many cases in allowing patients to show clinical improvement and return to work. Other concomitant injuries to SLAP must be investigated to optimise the results of surgical treatment.
Keywords : SLAP; bioknotless anchors; shoulder; arthroscopy.