Objective: To evaluate the clinical results among patients undergoing arthroscopic repair of circumferential labral lesions.
Methods: This was a retrospective study on 10 patients who underwent arthroscopic repair to circumferential labral lesions of the shoulder, between September 2012 and September 2015. The patients were evaluated by means of the Carter-Rowe score, DASH score, UCLA score, visual analog scale (VAS) for pain and Short-Form 36 (SF36). The average age at surgery was 29.6 years. The mean follow-up was 27.44 months (range: 12-41.3).
Results: The mean score was 16 points for DASH; 32 points for UCLA, among which six patients (60%) had excellent results, three (30%) good and one (10%) poor; 1.8 points for VAS, among which nine patients (90%) had minor pain and one (10%) moderate pain; 79.47 for SF-36; and 92.5 for Carter-Rowe, among which nine patients (90%) had excellent results and one (10%) good. Joint degeneration was present in one case (10%), of grade 1. We did not observe any significant complications, except for grade 1 glenohumeral arthrosis, which one patient developed after the operation.
Conclusion: Arthroscopic repair of circumferential labral lesions of the shoulder through use of absorbable anchors is effective, with improvements in all scores applied, and it presents low complication rates. Cases associated with glenohumeral dislocation have lower long-term residual pain.
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http://dx.doi.org/10.1016/j.rboe.2016.08.005 | DOI Listing |
Orthop J Sports Med
December 2024
Steadman Philippon Research Institute, Vail, Colorado, USA.
Background: A labral injury contributes to glenohumeral instability. The Anterior Labral Circumferential Onlay Technique (ALCOT) reconstructs the labrum using the long head of the biceps tendon.
Hypothesis: The ALCOT would restore glenohumeral joint stability in a cadaveric model without glenoid bone loss (1) comparable to the native state and (2) comparable to the Latarjet procedure.
Am J Sports Med
December 2024
American Hip Institute Research Foundation, Chicago, Illinois, USA.
Background: The essential component of managing femoroacetabular impingement involves restoration of the original labral function. Circumferential labral reconstruction (CLR) has shown positive results. However, biomechanical studies of CLR are limited and have not established the efficacy of the modern knotless all-suture anchor (ASA) pull-through technique.
View Article and Find Full Text PDFHip arthroscopy technique and innovation has revolutionized the surgical approach to femoroacetabular impingement syndrome (FAIS). Arthroscopic labral reconstruction is the gold-standard treatment for irreparable acetabular labral tears in FAIS surgery and backed by robust long-term clinical data. However, cam over-resection has become a prevalent complication, often co-occurring with irreparable labral tears in revision FAIS surgery.
View Article and Find Full Text PDFArthroscopy
August 2024
Department of Surgery, University of Western Ontario, London, Canada; Department of Medical Biophysics, University of Western Ontario, London, Canada; Department of Medical Imaging, University of Western Ontario, London, Canada; Robarts Research Institute, London, Canada. Electronic address:
Purpose: To evaluate the change in hip distractive stability after a cam over-resection, labral tear, repair, labrectomy, or circumferential 6- or 10-mm labral reconstruction in a biomechanical model.
Methods: Ten fresh-frozen matched-pair human cadaveric hips were analyzed using a materials testing system to measure the force and distance required to disrupt the suction seal of the hip (1) with an intact capsule and labrum; (2) after a capsulectomy and labral repair; (3) after a capsulectomy, 5-mm cam over-resection and labral repair; (4) after a capsulectomy, 5-mm cam over-resection and labral tear; (5) after a capsulectomy, 5-mm cam over-resection and labrectomy; and (6) after a capsulectomy, 5-mm cam over-resection and a 6- or 10-mm circumferential labral reconstruction with iliotibial band (5 hips each). Each specimen was retested at 0° flexion, 45° flexion, and 45° flexion and at 15° internal rotation and analyzed using nonparametric statistical methods.
J Orthop Case Rep
June 2024
Department of Orthopedics, AIIMS Jodhpur, India.
Introduction: Pan-labral tears, commonly associated with recurrent shoulder dislocations, are a well-documented pathology. However, circumferential pan-labral tears following a first-time shoulder dislocation represent a rare and scarcely reported entity in the literature. Accurate diagnosis requires a comprehensive clinical history, physical examination, and further evaluation, often involving MRI.
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