Over a 3-year period nine of 585 patients undergoing shoulder surgery were found to have a superior labral detachment anterior and posterior (SLAP) lesion. Seven patients also had an associated Bankart lesion and underwent arthroscopic repair of the entire anterior-inferior-superior-posterior labral detachment using the Suretac (Acufex Microsurgical Inc., Mansfield, MA) fixation device. The technique used requires an accessory anterior-lateral portal to access the superior-posterior labral detachment and an accessory anterior-inferior portal to access the Bankart lesion. Three to four Suretacs were required for repair in these cases. At an average follow-up of 19 months (range 15-22), five of seven patients had no pain, full range of motion, and a full premorbid activity level. One patient redislocated at 4 months postoperatively and was successfully managed with an open repair, and one patient developed a stiff shoulder that was successfully managed with arthroscopic release and manipulation. We conclude that this arthroscopic technique is a useful method to manage extensive labral detachment in selected patients.
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Article Synopsis
- Overhead throwing in sports like baseball can lead to specific shoulder and elbow injuries, including conditions like GIRD, Bennett lesions, and SLAP tears, primarily due to repetitive stress and movement patterns.
- GIRD is characterized by a reduction in internal rotation while external rotation increases, and Bennett lesions are caused by chronic tension leading to ossification of ligaments in the shoulder.
- Elbow injuries often affect the ulnar collateral ligament (UCL) and may include medial epicondylitis and conditions like posteromedial impingement, which are exacerbated by the high valgus stress experienced during throwing motions.
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