title: Arthroscopic superior labrum anterior-posterior repair in military patients.
abstract: The purpose of this retrospective study was to determine the efficacy of arthroscopic superior labrum anterior-posterior (SLAP) repair in a military population. In this study, 27 patients (of 30 consecutive patients) who had suture anchor repair of a type II SLAP lesion were evaluated at a mean of 30.5 months postoperatively. Fifteen patients had isolated tears, whereas twelve also had a concomitant diagnosis. At follow-up, the overall mean American Shoulder and Elbow Surgeons score was 86.9 points and the mean University of California, Los Angeles score was 30.4 points. The results were excellent in 4 patients, good in 20, and fair in 3. Of the patients, 96% returned to full duty (mean, 4.4 months). Patients treated for concomitant diagnoses and a SLAP tear had significantly higher American Shoulder and Elbow Surgeons scores and tended to have higher University of California, Los Angeles scores than those treated for an isolated SLAP tear. The findings indicate that arthroscopic SLAP repair in military patients results in a high rate of return to duty. The results suggest that concomitant shoulder pathology should be treated at the time of SLAP repair.
authors.affiliation: Bone & Joint Sports Medicine Institute, Naval Medical Center, Portsmouth, VA 23708, USA. jerome.enad@med.navy.mil
authors.forename: Jerome G
authors.initials: JG
authors.lastname: Enad
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Gaines
authors.forename: Sharese M
authors.initials: SM
authors.lastname: White
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Kurtz
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008889:Military Personnel; D010149:Postoperative Pain / Q000503:physiopathology; D011336:Probability; D011379:Prognosis; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012189:Retrospective Studies; D012783:Shoulder Dislocation / Q000150:complications; D020069:Shoulder Pain / Q000175:diagnosis / Q000209:etiology; D053441:Suture Anchors; D013708:Tendon Injuries / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome