Role of Posterior repair of isolated type 2 superior labrum
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This study aimed to evaluate the outcomes of arthroscopic type 2 superior labrum anterior–posterior (SLAP) lesion repair in the general population and compare clinical outcomes according to patient age and repair site.

Patients who underwent arthroscopic repair for isolated type 2 SLAP lesions were retrospectively reviewed. Baseline characteristics, pre- and postoperative shoulder range-of-motion, and functional scores, comprising the pain visual analogue scale (PVAS), functional VAS, and American Shoulder and Elbow Surgeons (ASES) score, were evaluated.

Return to overhead activities and subjective satisfaction were assessed at the final follow-up, and patients were divided by age [group YB and group OB] and repair site [group P (only posterior labrum repair) and group AP (anterior and posterior labrum repair)]. Overall patient outcomes were analysed and compared between groups.

Results:
--This study included 54 patients. 2 patients experienced early failure, and 1 patient had a ruptured biceps tendon during the follow-up period.

--Final functional scores improved compared to their preoperative scores in all patients, except 3.

--50 patients were satisfied, and 39 patients were able to perform overhead sports without restriction.

--In 25 patients who attended more than 7 years of follow-up, 21 patients had an ASES score more than 80, and all patients had PVAS less than 2.

--There was no significant difference in clinical outcomes between groups YB and OB. The final median external rotation was significantly more restricted in group AP than in group P (40 vs. 60).

Subject to a rigorous evaluation of patient history, physical examination and imaging investigations, arthroscopic T type 2 SLAP repair resulted in good clinical results for short and long-term use, re-establishment of overhead activities and subjective satisfaction in the general population, irrespective of age. The repair of the previous SLAP lesion can nonetheless limit ER by performing only after repair seems to be sufficient. Only after the remediation of the isolated type 2, SLAP lesion is indicated to decrease the risk of external rotation deficit and to enhance patient satisfaction, independent of age.

Source: https://link.springer.com/article/10.1007/s00167-021-06608-6
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