Outcomes of Combined Arthroscopic Rotator Cuff and Labral Repair
- 1 July 2007
- journal article
- research article
- Published by SAGE Publications in The American Journal of Sports Medicine
- Vol. 35 (7), 1174-1179
- https://doi.org/10.1177/0363546507300062
Abstract
Background: Rotator cuff tears, Bankart lesions, and superior labral anterior posterior lesions commonly occur in isolation, but there is a subgroup of patients who experience combined injuries. Prior studies have excluded such patients as confounding groups.Hypothesis: In patients with combined lesions of the labrum and rotator cuff, arthroscopic repair of both lesions will restore range of motion and stability and provide good clinical results.Study Design: Cohort study; Level of evidence, 3.Methods: We retrospectively evaluated the clinical outcomes of a series of patients with combined rotator cuff and labral (Bankart or superior labral anterior posterior) lesions treated arthroscopically.Results: Thirty patients (average age, 47.8 years) with combined rotator cuff and labral lesions were evaluated at a mean follow-up of 2.7 years (range, 24-54 months). Sixteen patients had Bankart lesions and 14 patients had SLAP lesions. Significant improvements in forward flexion (20.5°, P = .005), external rotation (9.0°, P = .008), and internal rotation (2 vertebral levels, P = .016) were observed. The mean L'Insalata and American Society of Shoulder and Elbow Surgeons scores for all patients were 92.9 and 94.3, respectively. Twenty-seven (90%) patients reported satisfaction as good to excellent, and 23 of 30 (77%) returned to their preinjury level of athletics. Two patients suffered recurrent rotator cuff tears.Conclusion: In patients with rotator cuff and labral lesions, arthroscopic treatment of both lesions yields good clinical outcomes, restoration of motion, and a high degree of patient satisfaction.Keywords
This publication has 21 references indexed in Scilit:
- A Prospective Outcome Evaluation of Arthroscopic Bankart RepairsThe American Journal of Sports Medicine, 2006
- Incidence and risk factors for blood transfusion in shoulder arthroplastyJournal of Shoulder and Elbow Surgery, 2005
- Arthroscopic versus mini-open rotator cuff repair: A comparison of clinical outcomes and patient satisfactionJournal of Shoulder and Elbow Surgery, 2005
- Surgical management of large rotator cuff tears combined with instability in elite rugby football players * CommentaryBritish Journal of Sports Medicine, 2003
- A standardized method for assessment of elbow functionJournal of Shoulder and Elbow Surgery, 1999
- Arthroscopic Treatment of Partial Rotator Cuff Tears in Young AthletesThe American Journal of Sports Medicine, 1997
- Superior Labrum-Biceps Tendon Complex Lesions of the ShoulderThe American Journal of Sports Medicine, 1995
- Arthroscopic suture repair of superior labral detachment lesions of the shoulderThe American Journal of Sports Medicine, 1993
- Anterior Dislocation of the Shoulder in the Older PatientPublished by Ovid Technologies (Wolters Kluwer Health) ,1986
- Recurrent Dislocation of the Shoulder After Age FiftyPublished by Ovid Technologies (Wolters Kluwer Health) ,1980