Title of article :
Humeral head abrasion: An association with failed superior labrum anterior posterior repairs
Author/Authors :
Byram، نويسنده , , Ian R. and Dunn، نويسنده , , Warren R. and Kuhn، نويسنده , , John E.، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2011
Pages :
6
From page :
92
To page :
97
Abstract :
Hypothesis asion on the humeral head under the articulating portion of the biceps tendon has been observed in patients with pain and stiffness after superior labrum anterior posterior (SLAP) repair. This study examined this humeral head abrasion (HHA) and its association with various diagnoses involving pathology of the biceps-labral complex. We hypothesized that it would be more common in failed SLAP repairs than other diagnoses. als and methods ospective chart review was performed of 253 patients who underwent shoulder arthroscopy by a single surgeon during a 5-year period. Postoperative diagnoses were used to confirm one of the following diagnoses: failed SLAP repair, biceps tendonitis, SLAP lesion with biceps tendonitis, and isolated SLAP lesion. Operative reports and surgical images were analyzed to identify the presence or absence of HHA. Demographic data, including age, sex, handedness, and onset of injury, were also collected. The frequency of this lesion among the different diagnoses and patient characteristics was compared by χ2 analysis. s s observed in 13 of 18 patients (72.2%) with failed SLAP repairs, in 8 of 18 (44.4%) with biceps tendonitis, in 11 of 20 (55%) with SLAP lesion and biceps tendonitis, and in 1 of 71 (1.4%) with isolated SLAP lesions, significantly differing in frequency by diagnosis (P < .001). Patients with HHA were an older median age than those without (48 vs 40; P = .004). sion common in patients with a pathologic biceps-labral complex, especially those with failed SLAP repair. We speculate that this lesion is due to inflammation of the biceps tendon resulting in increased biceps-humeral head contact pressure.
Keywords :
Biceps tendon , biceps-labral complex , Humeral head abrasion , failed SLAP repair , Chondral lesion , Biceps tendonitis
Journal title :
Journal of Shoulder and Elbow Surgery
Serial Year :
2011
Journal title :
Journal of Shoulder and Elbow Surgery
Record number :
1868788
Link To Document :
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