Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
SLAP defined as separation of superior labrum from anterior to posterior, with or without the involvement of the attachment of the biceps tendon.
OBJECTIVE:
To assess the results of arthroscopic management of type II isolated SLAP tear using suture anchors in patients below forty years of age according to the University of California Los Angeles (UCLA) rating scale.
PAT IENTS AND METHODS:
This is a prospective study conducted in the medical city directorate in Baghdad starting in October 2015 till October 2017, it included fourteen patients having dominant side type II SLAP tear, twelve males and two females, mean age was 31.8. All the tears fixed by arthroscopic suture anchor using the 2-ports technique. All patients evaluated by the (UCLA) scale preoperatively and one year after surgery.
RESULTS:
The UCLA shoulder rating scale regarding the pain relief, function and patient satisfaction showed significant improvement from 14.0±2.8 preoperatively to 31.9±1.9 one year postoperatively in all the patients with a P value < 0.0001.One patient had post-operative anterior stitch infection treated by daily dressing and antibiotic.
CONCLUSION:
Arthroscopic repair of isolated type II SALP lesions by using suture anchors fixation and by two ports technique show favorable outcomes in term of function, pain relief and satisfaction of patients below 40 years in one year follow up.
KEYWORDS SLAP lesion, shoulder arthroscopy