Long-term outcome after arthroscopic repair of type II SLAP lesions: results according to age and workers' compensation status

Arthroscopy. 2012 Apr;28(4):451-7. doi: 10.1016/j.arthro.2011.09.005. Epub 2012 Jan 21.

Abstract

Purpose: The purpose of this study was to determine the long-term functional outcome of anatomic arthroscopic repair of type II SLAP lesions with suture anchors.

Methods: We examined all arthroscopic repairs of isolated type II SLAP lesions from January 2002 through December 2007. Fifty-five patients were available for long-term follow-up at a mean of 77 months. The mean patient age at the time of surgery was 39.7 years (range, 17 to 65 years); 23 patients were aged younger than 40 years, and 32 patients were aged 40 years or older. Fourteen cases involved Workers' Compensation claims.

Results: Overall, functional outcome was improved from baseline compared with final follow-up for both American Shoulder and Elbow Surgeons scores (44.1 points v 86.2 points, P < .001) and University of California, Los Angeles scores (19.1 points v 31.2 points, P < .001). According to the University of California, Los Angeles grading system, 87% of cases had good or excellent results. Although the percentage of good and excellent results among patients aged 40 years or older (81%) was lower than that among patients aged younger than 40 years (97%), this difference did not reach statistical significance (P = .219). The percentage of good and excellent results among the non-Workers' Compensation cases (95%) was significantly higher than that in Workers' Compensation cases (65%) (P = .009). Overall, patient satisfaction was reported in 91% of cases, and return to normal sport or activity was reported in 82% of cases.

Conclusions: In 87% of cases, a good or excellent functional outcome can be anticipated after arthroscopic repair of type II SLAP lesions with the described techniques. Variables associated with a poor outcome include Workers' Compensation cases and possibly older age (≥40 years).

Level of evidence: Level IV, therapeutic case series.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Arthroscopy / instrumentation
  • Arthroscopy / methods*
  • Arthroscopy / rehabilitation
  • Athletic Injuries / rehabilitation
  • Athletic Injuries / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction / statistics & numerical data
  • Postoperative Complications
  • Range of Motion, Articular
  • Recovery of Function
  • Retrospective Studies
  • Shoulder Injuries*
  • Shoulder Joint / surgery
  • Suture Anchors
  • Treatment Outcome
  • Workers' Compensation / statistics & numerical data*
  • Young Adult