Article
Orthopedics
Geoffrey T. T. Murphy, Julia Beretov, Salman Marvi, Patrick H. H. Lam, George A. C. Murrell
Summary: This study found that torn labra in patients with glenohumeral labral injuries have increased expression of nerve fibers in the tear area, which may contribute to pain.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Review
Orthopedics
Myung Ho Shin, Samuel Baek, Tae Min Kim, HyunTae Kim, Kyung-Soo Oh, Seok Won Chung
Summary: This study aimed to compare the outcomes of SLAP repair versus biceps tenodesis in overhead athletes with SLAP lesions. The results showed that there were no significant differences between the two procedures in terms of ASES score, rate of return to sport, return to preinjury level of sport, and complication rate. Further randomized controlled studies are needed to confirm these findings.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Richard E. Hogan, Eoghan T. Hurley, Conor J. Kilkenny, Thomas K. Moore, David N. Rowe, Martin S. Davey, Leo Pauzenberger, Hannan Mullett
Summary: The study found that patients with Type V SLAP tears had a similar overall rate of RTP compared to those who underwent arthroscopic Bankart repair alone. However, there was a significantly lower rate of RTP at the same or higher level in patients who underwent Type V SLAP repair.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Review
Orthopedics
Juan Martin Patino
Summary: This review discusses the controversies regarding the pathophysiology, treatment options, outcomes, return to activities, and complications of type II SLAP injuries. Repairing SLAP II injuries appears to have better outcomes in younger patients and athletes who perform overhead movements, while tenodesis yields better outcomes in older patients. There is a current trend of recommending tenodesis even in underage patients and athletes, as there are reports of fewer re-operations and faster recovery.
INTERNATIONAL ORTHOPAEDICS
(2022)
Review
Orthopedics
Brian R. Waterman, Robert S. Dean, Bonnie Gregory, Anthony A. Romeo
Summary: Symptomatic SLAP tears, especially type II, are increasingly common in competitive overhead athletes. Accurate diagnosis involves corroborating history and physical examination with imaging due to the high incidence of false positives. Conservative management has shown conflicting success rates, but high-grade or unstable tears may require debridement, labral repair, biceps tenodesis, or less frequently, biceps tenotomy.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Orthopedics
Clare K. Green, John P. Scanaliato, John C. Dunn, Rachel S. Rosner, Nata Parnes
Summary: The study reported short-term outcomes and return-to-work rates after arthroscopic rotator cuff repair in manual laborers aged 50 to 60, with 89.6% of patients able to return to work successfully.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Kevin F. Dunne, Michael Knesek, Vehniah K. Tjong, Brett D. Riederman, Charles J. Cogan, Hayden P. Baker, Cynthia A. Kahlenberg, Stephen Gryzlo, Michael A. Terry
Summary: The study compared outcomes between biceps tenodesis and labral repair for type II SLAP lesions in a young active population, and found no significant differences in pain, function, and satisfaction between the two surgical approaches.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Nata Parnes, John C. Dunn, Hunter Czajkowski, Michael J. DeFranco, Clare K. Green, John P. Scanaliato
Summary: This study compared the outcomes of arthroscopic SLAP repair with arthroscopic-assisted subpectoral biceps tenodesis for type II SLAP tears in active-duty military patients younger than 35 years. The results showed that patients in the tenodesis group had lower pain, higher functional outcomes, and lower failure rates at a minimum of 5 years postoperatively compared with those in the repair group.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Clare K. Green, John P. Scanaliato, Alexis B. Sandler, Hunter Czajkowski, Robert H. Rolf, John C. Dunn, Nata Parnes
Summary: This study compared the outcomes of arthroscopic-assisted subpectoral biceps tenodesis combined with anterior labral repair and arthroscopic SLAP repair for type V SLAP tears in active-duty military patients younger than 35 years. The results showed no significant differences in clinical efficacy between the two treatment methods and a high rate of return to work for many patients.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Review
Orthopedics
Guilherme Guelfi Noffs, Lauro Augusto Veloso Costa
Summary: This study systematically reviewed and summarized the literature on the return to sport in athletes older than 35 years undergoing rotator cuff repair. Although the evidence is limited, rotator cuff tear should not be seen as a mandatory reason for the retirement of older athletes. Out of the 140 athletes included in this review, 122 returned to sport, with 102 returning to equal or higher level pre-injury.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
Jun-Bum Lee, Erica Kholinne, Hui Ben, Sang-Pil So, Hood Alsaqri, Hyun June Lee, Kyoung Hwan Koh, In-Ho Jeon
Summary: By comparing the clinical and radiological outcomes in patients with MRCT, it was found that aSCR is more effective than aRCR in improving clinical outcomes, including pVAS score, postoperative ROM, and favorable radiological findings such as AHD and higher healing rate.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Review
Orthopedics
Matthew G. Alben, Neil Gambhir, Aidan G. Papalia, Nicholas Bostrom, Gabriel Larose, Mandeep S. Virk, Andrew S. Rokito
Summary: This systematic literature review examined return to sport (RTS) outcomes after arthroscopic rotator cuff repair (aRCR) for full-thickness rotator cuff tears (FTRCTs). The review included articles from PubMed, Medline, and Excerpta Medica Database (EMBASE) and found high variability in RTS rates and time to RTS among athletes after aRCR for FTRCTs. More research is needed to provide a more definitive consensus on RTS after aRCR for FTRCTs.
CLINICAL JOURNAL OF SPORT MEDICINE
(2023)
Article
Orthopedics
Ryan S. Ting, Ron Rosenthal, Yaerhim Shin, Mina Shenouda, Hilal S. A. Al-Housni, Patrick H. Lam, George A. C. Murrell
Summary: This study aimed to identify factors predicting return to work after arthroscopic rotator cuff repair. The study found that patients who continued working before surgery were more likely to return to work at any level (P < .0001), as well as those with stronger internal rotation preoperatively (P = .004), full-thickness tears (P = .002), and who were female (P = .030). Greater preoperative subscapularis strength independently predicted return to work at any level.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Rehabilitation
Alan Z. Grusky, Amos Song, Peter Kim, Gregory D. Ayers, Laurence D. Higgins, John E. Kuhn, Keith M. Baumgarten, Elizabeth Matzkin, Nitin B. Jain
Summary: In a cohort of patients with shoulder pain, older age, involvement of the dominant shoulder, and a higher body mass index were found to be independently associated with rotator cuff tears. Further research is needed to understand the mechanisms behind these associations.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2021)
Review
Medicine, General & Internal
Marco Bravi, Chiara Fossati, Arrigo Giombini, Andrea Macaluso, Jose Kawazoe Lazzoli, Fabio Santacaterina, Federica Bressi, Ferruccio Vorini, Stefano Campi, Rocco Papalia, Fabio Pigozzi
Summary: This systematic review aimed to identify the criteria used to determine when a patient is ready for return-to-play after rotator cuff repair. The review included 24 studies and identified nine criteria, with time being the most commonly used criterion, followed by strength and range of motion. The results are consistent with previous research and the review adds methodological strength by following guidelines and including data from both athletes and non-athletes.
JOURNAL OF CLINICAL MEDICINE
(2022)