1. Arthroscopic evaluation of failed primary type II SLAP lesion repair in patients with high physical activity over 40 years of age and the outcomes of tenotomy
- Author
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Ferit Tufan Özgezmez and Vahit Yıldız
- Subjects
Male ,medicine.medical_specialty ,Visual analogue scale ,medicine.medical_treatment ,Tenotomy ,Tenodesis ,shoulder arthroscopy ,Biceps ,Lesion ,shoulder injuries ,medicine ,Humans ,Orthopedics and Sports Medicine ,Exercise ,Retrospective Studies ,Labrum ,Tenosynovitis ,medicine.diagnostic_test ,Shoulder Joint ,Physical activity ,business.industry ,Rehabilitation ,Arthroscopy ,Retrospective cohort study ,Middle Aged ,medicine.disease ,Surgery ,repair ,Female ,Original Article ,medicine.symptom ,business - Abstract
Objectives In this study, we aimed to examine patients over 40 years of age who underwent failed primary isolated type 2 superior labrum anterior posterior (SLAP) repair arthroscopically and to evaluate the outcomes of tenotomy. Patients and methods Between March 2011 and December 2019, a total of 32 patients (19 males, 13 females; median age: 55.1 years; range, 41 to 59 years) who underwent primary repair for SLAP due to high activity levels and in whom the treatment failed were retrospectively analyzed. Biceps tenotomy was applied to all patients. The Constant-Murley Score (CMS), Visual Analog Scale (VAS) pain scores, and muscle strength before and after re-arthroscopy were compared. Results The median follow-up time was 27 (9-84) months after biceps tenotomy. During arthroscopy, failure was detected in three (9.37%) patients and additional pathologies were detected in five (15.62%) patients. Patients with biceps tenosynovitis were 29 (90.62%). The mean pre- and postoperative CMS scores were 40.5±11.1 and 86.3±8.1, respectively (p
- Published
- 2021
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