Influence of SLAP lesions on chondral lesions of the glenohumeral joint.
From 2004 to 2008 we evaluated 431 SLAP lesions during 3,395 shoulder arthroscopies and compared two groups of patients, one with SLAP lesion as group I and one without SLAP lesions as group II. Exclusion of type I SLAP lesions, rotator cuff tears and history of dislocation of the shoulder in both groups left 182 cases in group I, and additionally, exclusion of all-type SLAP lesions left 251 patients in group II. In group I, SLAP lesion-associated chondral lesions were present in 20% at the humerus (4% group II, p = 0.005), 18% at the glenoid (5% in group II, p = 0.05) and 14% glenohumeral (3% group II, p = 0.04). We observed a pattern of typical localization of SLAP-associated chondral lesions at the humerus underneath the biceps tendon (78%) and at the anterior half of the glenoid (63%) in group I in contrast to the central region of the humerus (82%) and the central region at the glenoid (55%) in group II. The association of SLAP and chondral lesions was not influenced by the presence of trauma or age of the patients. SLAP lesions seem to be a risk factor for subsequent early onset of osteoarthritis either caused by a bicipital chondral print or glenohumeral instability or a combination of both.
Department of Orthopaedic Surgery, University Hospital of Marburg, Baldingerstrasse, 35043 Marburg, Germany. th.patzer@web.de
Thilo
T
Patzer
Sven
S
Lichtenberg
Jörn
J
Kircher
Petra
P
Magosch
Peter
P
Habermeyer
D000328:Adult; D000368:Aged; D002358:Cartilage, Articular / Q000293:injuries*; D006801:Humans; D007593:Joint Instability / Q000209:etiology*; D008875:Middle Aged; D010003:Osteoarthritis / Q000209:etiology*; D011446:Prospective Studies; D000070599:Shoulder Injuries; D013708:Tendon Injuries / Q000150:complications*; D055815:Young Adult