title: Variable reporting of functional outcomes and return to play in superior labrum anterior and posterior tear.
abstract: BACKGROUND
  Outcomes assessments after superior labrum anterior and posterior (SLAP) tear/repair are highly varied, making it difficult to draw comparisons across the literature. This study examined the inconsistency in outcomes reporting in the SLAP tear literature. We hypothesize that there is significant variability in outcomes reporting and that although most studies may report return to play, time to return reporting will be highly variable.
  
  
  METHODS
  The PubMed, Medline, Scopus, and Embase databases were systematically reviewed for studies from January 2000 to December 2014 reporting outcomes after SLAP tear/repair. Two reviewers assessed each study, and those meeting inclusion criteria were examined for pertinent data. Outcomes included objective (range of motion, strength, clinical examinations, and imaging) and subjective (patient-reported outcomes, satisfaction, activities of daily living, and return to play) measures.
  
  
  RESULTS
  Of the 56 included studies, 43% documented range of motion, 14% reported strength, and 16% noted postoperative imaging. There was significant variation in use of patient-reported outcomes measures, with the 3 most commonly noted measures reported in 20% to 55% of studies. Return to play was noted in 75% of studies, and 23% reported time to return, with greater rates in elite athletes. Eleven studies (20%) did not report follow-up or noted data with <12 months of follow-up.
  
  
  CONCLUSIONS
  The SLAP literature is characterized by substantial variability in outcomes reporting, with time to return to play noted in few studies. Efforts to standardize outcomes reporting would facilitate comparisons across the literature and improve our understanding of the prognosis of this injury.
authors: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
authors: Michael E
authors: ME
authors: Steinhaus
authors: Department of Orthopaedic Surgery, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA. Electronic address: ericmakhnimd@gmail.com.
authors: Eric C
authors: EC
authors: Makhni
authors: Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA.
authors: Adam C
authors: AC
authors: Lieber
authors: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
authors: Cynthia A
authors: CA
authors: Kahlenberg
authors: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
authors: Lawrence V
authors: LV
authors: Gulotta
authors: Department of Orthopaedic Surgery, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.
authors: Anthony A
authors: AA
authors: Romeo
authors: Department of Orthopaedic Surgery, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.
authors: Nikhil N
authors: NN
authors: Verma
mesh_terms: D003952:Diagnostic Imaging; D006801:Humans; D053580:Muscle Strength; D000071066:Patient Reported Outcome Measures; D016059:Range of Motion, Articular; D000068958:Return to Sport; D000070599:Shoulder Injuries / Q000601:surgery*
keywords: SLAP tear; outcomes; overhead athlete; patient-reported outcomes; quality assessment; return to play