title: Arthroscopic reconstruction of shoulder's labrum with extensive tears.
abstract: BACKGROUND
  With the continuous development of arthroscopic techniques, the majority of superior labrum anterior-posterior (SLAP) lesions can be treated with minimally invasive endoscopic repair. The aim of this study was to determine the efficacy of arthroscopic capsulolabral reconstruction of SLAP lesions with extensive tears.
  
  
  METHODS
  Eighteen patients with SLAP lesions with extensive tears (median age, 27.50 years) were included in this study. Twelve patients had type-V SLAP lesions, 4 patients had type-VIII SLAP lesions, and 2 patients had deeply located SLAP lesions. The average duration of follow-up was 15.83 months (range, 11-22 months). Outcome measures included shoulder range of motion (ROM), American Shoulder and Elbow Surgeons (ASES) and Constant-Murley scores, and visual analogue scale (VAS) pain score.
  
  
  RESULTS
  After arthroscopic surgery, shoulder forward flexion, shoulder external rotation, and external rotation in 90° of abduction were significantly greater than before surgery (169.5° vs. 165.5°, P = 0.001), (90° vs. 63.5°, P < 0.001), and (90° vs. 81.5°, P = 0.004), respectively. Median ASES and Constant-Murley scores after surgery were both 94 as compared to 77.0 and 77.5, respectively, before surgery (both, P < 0.001). The median VAS score decreased to 1.5 after surgery as compared to 6 before surgery (P < 0.001).
  
  
  CONCLUSIONS
  Arthroscopic repair of SLAP lesions with extensive tears can achieve good outcomes.
authors.affiliation: Department of Orthopaedics, Guangzhou Liu Hua Qiao Hospital, Liu Hua Road 111, Guangzhou 510010, PR China.
authors.forename: Huayang
authors.initials: H
authors.lastname: Huang
authors.forename: Xiaofei
authors.initials: X
authors.lastname: Zheng
authors.forename: Pingyue
authors.initials: P
authors.lastname: Li
authors.forename: Hongyuan
authors.initials: H
authors.lastname: Shen
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D002358:Cartilage, Articular / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Anterior labrum; Capsulolabral reconstruction; Posterior labrum; SLAP lesion