Outcomes After Open Latarjet in Patients With or Without SLAP Lesions
Background: Up to 20% of shoulders with anterior instability are associated with superior labrum anterior-posterior (SLAP) lesions, and they remain untreated after an open Latarjet procedure. SLAP lesions can be responsible for pain and feelings of instability in high-demand patients. Purpose/Hypoth...
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Published in | Orthopaedic journal of sports medicine Vol. 11; no. 7; p. 23259671231185199 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Los Angeles, CA
SAGE Publications
01.07.2023
Sage Publications Ltd |
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Abstract | Background:
Up to 20% of shoulders with anterior instability are associated with superior labrum anterior-posterior (SLAP) lesions, and they remain untreated after an open Latarjet procedure. SLAP lesions can be responsible for pain and feelings of instability in high-demand patients.
Purpose/Hypothesis:
The aim of this study was to compare the early functional outcomes and return to sport rates in athletes after the Latarjet procedure with versus without associated SLAP lesions. It was hypothesized that untreated SLAP lesions would not influence clinical results.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Inclusion criteria were athletes with anterior shoulder instability treated with Latarjet procedure, a minimum follow-up of 1 year, and an available preoperative computed tomography arthrogram. We recorded patient characteristics; type of sport; bone loss; Rowe, Single Assessment Numeric Evaluation (SANE), and 11-item Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores; 5-point pain and satisfaction scores; reported apprehension; and return to sport. Patients with and without a preoperative type 5 SLAP lesion on imaging were compared.
Results:
Fifty patients were included (mean age, 22 ± 5 years [range, 16-36 years]; mean follow-up, 27 ± 9 months [range, 12-42 months]). Thirty-four patients practiced contact sports, including 20 rugby players. Twelve patients (24%) had a preoperative SLAP lesion. Groups with (+) and without (–) a SLAP lesion were comparable in terms of age, sex, number of instability episodes, type of sport, and glenoid and humeral bone loss. The SLAP+ group had significantly worse outcomes with a lower Rowe score (79 ± 23 vs 91 ± 15; P = .018) and painless rate (50% vs 77%; P = .04). There were no significant differences between the groups in SANE score (SLAP+ vs SLAP–: 80% vs 87%), QuickDASH score (8% vs 8%), return to sport (83% vs 91%), apprehension (79% vs 50%), and reported satisfaction. There was 1 episode of postoperative subluxation in each group.
Conclusion:
Patients who underwent an open Latarjet procedure with an associated SLAP tear more frequently reported postoperative pain than those without a SLAP lesion. Patients with untreated SLAP tears had significantly lower Rowe scores, although SANE score and return to sport were not significantly different between the groups. |
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AbstractList | Background:
Up to 20% of shoulders with anterior instability are associated with superior labrum anterior-posterior (SLAP) lesions, and they remain untreated after an open Latarjet procedure. SLAP lesions can be responsible for pain and feelings of instability in high-demand patients.
Purpose/Hypothesis:
The aim of this study was to compare the early functional outcomes and return to sport rates in athletes after the Latarjet procedure with versus without associated SLAP lesions. It was hypothesized that untreated SLAP lesions would not influence clinical results.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Inclusion criteria were athletes with anterior shoulder instability treated with Latarjet procedure, a minimum follow-up of 1 year, and an available preoperative computed tomography arthrogram. We recorded patient characteristics; type of sport; bone loss; Rowe, Single Assessment Numeric Evaluation (SANE), and 11-item Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores; 5-point pain and satisfaction scores; reported apprehension; and return to sport. Patients with and without a preoperative type 5 SLAP lesion on imaging were compared.
Results:
Fifty patients were included (mean age, 22 ± 5 years [range, 16-36 years]; mean follow-up, 27 ± 9 months [range, 12-42 months]). Thirty-four patients practiced contact sports, including 20 rugby players. Twelve patients (24%) had a preoperative SLAP lesion. Groups with (+) and without (–) a SLAP lesion were comparable in terms of age, sex, number of instability episodes, type of sport, and glenoid and humeral bone loss. The SLAP+ group had significantly worse outcomes with a lower Rowe score (79 ± 23 vs 91 ± 15; P = .018) and painless rate (50% vs 77%; P = .04). There were no significant differences between the groups in SANE score (SLAP+ vs SLAP–: 80% vs 87%), QuickDASH score (8% vs 8%), return to sport (83% vs 91%), apprehension (79% vs 50%), and reported satisfaction. There was 1 episode of postoperative subluxation in each group.
Conclusion:
Patients who underwent an open Latarjet procedure with an associated SLAP tear more frequently reported postoperative pain than those without a SLAP lesion. Patients with untreated SLAP tears had significantly lower Rowe scores, although SANE score and return to sport were not significantly different between the groups. Up to 20% of shoulders with anterior instability are associated with superior labrum anterior-posterior (SLAP) lesions, and they remain untreated after an open Latarjet procedure. SLAP lesions can be responsible for pain and feelings of instability in high-demand patients. The aim of this study was to compare the early functional outcomes and return to sport rates in athletes after the Latarjet procedure with versus without associated SLAP lesions. It was hypothesized that untreated SLAP lesions would not influence clinical results. Cohort study; Level of evidence, 3. Inclusion criteria were athletes with anterior shoulder instability treated with Latarjet procedure, a minimum follow-up of 1 year, and an available preoperative computed tomography arthrogram. We recorded patient characteristics; type of sport; bone loss; Rowe, Single Assessment Numeric Evaluation (SANE), and 11-item Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores; 5-point pain and satisfaction scores; reported apprehension; and return to sport. Patients with and without a preoperative type 5 SLAP lesion on imaging were compared. Fifty patients were included (mean age, 22 ± 5 years [range, 16-36 years]; mean follow-up, 27 ± 9 months [range, 12-42 months]). Thirty-four patients practiced contact sports, including 20 rugby players. Twelve patients (24%) had a preoperative SLAP lesion. Groups with (+) and without (-) a SLAP lesion were comparable in terms of age, sex, number of instability episodes, type of sport, and glenoid and humeral bone loss. The SLAP+ group had significantly worse outcomes with a lower Rowe score (79 ± 23 vs 91 ± 15; = .018) and painless rate (50% vs 77%; = .04). There were no significant differences between the groups in SANE score (SLAP+ vs SLAP-: 80% vs 87%), QuickDASH score (8% vs 8%), return to sport (83% vs 91%), apprehension (79% vs 50%), and reported satisfaction. There was 1 episode of postoperative subluxation in each group. Patients who underwent an open Latarjet procedure with an associated SLAP tear more frequently reported postoperative pain than those without a SLAP lesion. Patients with untreated SLAP tears had significantly lower Rowe scores, although SANE score and return to sport were not significantly different between the groups. Background: Up to 20% of shoulders with anterior instability are associated with superior labrum anterior-posterior (SLAP) lesions, and they remain untreated after an open Latarjet procedure. SLAP lesions can be responsible for pain and feelings of instability in high-demand patients. Purpose/Hypothesis: The aim of this study was to compare the early functional outcomes and return to sport rates in athletes after the Latarjet procedure with versus without associated SLAP lesions. It was hypothesized that untreated SLAP lesions would not influence clinical results. Study Design: Cohort study; Level of evidence, 3. Methods: Inclusion criteria were athletes with anterior shoulder instability treated with Latarjet procedure, a minimum follow-up of 1 year, and an available preoperative computed tomography arthrogram. We recorded patient characteristics; type of sport; bone loss; Rowe, Single Assessment Numeric Evaluation (SANE), and 11-item Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores; 5-point pain and satisfaction scores; reported apprehension; and return to sport. Patients with and without a preoperative type 5 SLAP lesion on imaging were compared. Results: Fifty patients were included (mean age, 22 ± 5 years [range, 16-36 years]; mean follow-up, 27 ± 9 months [range, 12-42 months]). Thirty-four patients practiced contact sports, including 20 rugby players. Twelve patients (24%) had a preoperative SLAP lesion. Groups with (+) and without (–) a SLAP lesion were comparable in terms of age, sex, number of instability episodes, type of sport, and glenoid and humeral bone loss. The SLAP+ group had significantly worse outcomes with a lower Rowe score (79 ± 23 vs 91 ± 15; P = .018) and painless rate (50% vs 77%; P = .04). There were no significant differences between the groups in SANE score (SLAP+ vs SLAP–: 80% vs 87%), QuickDASH score (8% vs 8%), return to sport (83% vs 91%), apprehension (79% vs 50%), and reported satisfaction. There was 1 episode of postoperative subluxation in each group. Conclusion: Patients who underwent an open Latarjet procedure with an associated SLAP tear more frequently reported postoperative pain than those without a SLAP lesion. Patients with untreated SLAP tears had significantly lower Rowe scores, although SANE score and return to sport were not significantly different between the groups. BackgroundUp to 20% of shoulders with anterior instability are associated with superior labrum anterior-posterior (SLAP) lesions, and they remain untreated after an open Latarjet procedure. SLAP lesions can be responsible for pain and feelings of instability in high-demand patients. Purpose/HypothesisThe aim of this study was to compare the early functional outcomes and return to sport rates in athletes after the Latarjet procedure with versus without associated SLAP lesions. It was hypothesized that untreated SLAP lesions would not influence clinical results. Study DesignCohort study; Level of evidence, 3. MethodsInclusion criteria were athletes with anterior shoulder instability treated with Latarjet procedure, a minimum follow-up of 1 year, and an available preoperative computed tomography arthrogram. We recorded patient characteristics; type of sport; bone loss; Rowe, Single Assessment Numeric Evaluation (SANE), and 11-item Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores; 5-point pain and satisfaction scores; reported apprehension; and return to sport. Patients with and without a preoperative type 5 SLAP lesion on imaging were compared. ResultsFifty patients were included (mean age, 22 ± 5 years [range, 16-36 years]; mean follow-up, 27 ± 9 months [range, 12-42 months]). Thirty-four patients practiced contact sports, including 20 rugby players. Twelve patients (24%) had a preoperative SLAP lesion. Groups with (+) and without (-) a SLAP lesion were comparable in terms of age, sex, number of instability episodes, type of sport, and glenoid and humeral bone loss. The SLAP+ group had significantly worse outcomes with a lower Rowe score (79 ± 23 vs 91 ± 15; P = .018) and painless rate (50% vs 77%; P = .04). There were no significant differences between the groups in SANE score (SLAP+ vs SLAP-: 80% vs 87%), QuickDASH score (8% vs 8%), return to sport (83% vs 91%), apprehension (79% vs 50%), and reported satisfaction. There was 1 episode of postoperative subluxation in each group. ConclusionPatients who underwent an open Latarjet procedure with an associated SLAP tear more frequently reported postoperative pain than those without a SLAP lesion. Patients with untreated SLAP tears had significantly lower Rowe scores, although SANE score and return to sport were not significantly different between the groups. |
Author | Pillot, Sabine Pesquer, Lionel Billaud, Anselme Garcia-Maya, Beatriz |
AuthorAffiliation | Hospital Infanta Elena, Valdemoro, Madrid, Spain Clinique du Sport, Mérignac, France Investigation performed at Clinique du Sport, Mérignac, France Hôpital Edouard Herriot, Lyon, France |
AuthorAffiliation_xml | – name: Hospital Infanta Elena, Valdemoro, Madrid, Spain – name: Clinique du Sport, Mérignac, France – name: Investigation performed at Clinique du Sport, Mérignac, France – name: Hôpital Edouard Herriot, Lyon, France |
Author_xml | – sequence: 1 givenname: Anselme surname: Billaud fullname: Billaud, Anselme – sequence: 2 givenname: Beatriz surname: Garcia-Maya fullname: Garcia-Maya, Beatriz – sequence: 3 givenname: Lionel surname: Pesquer fullname: Pesquer, Lionel – sequence: 4 givenname: Sabine surname: Pillot fullname: Pillot, Sabine |
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Keywords | outcomes Latarjet procedure anterior instability sports medicine shoulder imaging SLAP lesion |
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2176 article-title: Borderline glenoid bone defect in anterior shoulder instability: Latarjet procedure versus Bankart repair publication-title: Am J Sports Med contributor: fullname: Rhee – volume: 30 start-page: e157 issue: 4 year: 2021 end-page: e164 article-title: Variation in technique and postoperative management of the Latarjet procedure among orthopedic surgeons publication-title: J Shoulder Elbow Surg contributor: fullname: Shybut – volume: 20 start-page: 1095 issue: 7 year: 2011 end-page: 1101 article-title: Bristow-Latarjet and Bankart: a comparative study of shoulder stabilization in 185 shoulders during a seventeen-year follow-up publication-title: J Shoulder Elbow Surg contributor: fullname: Rahme – volume: 29 start-page: 95 issue: 1 year: 2020 end-page: 103 article-title: Type V superior labral anterior-posterior (SLAP) lesion in recurrent anterior glenohumeral instability publication-title: J Shoulder Elbow Surg contributor: fullname: Kandeel – volume: 16 start-page: 296 issue: 3 year: 2020 end-page: 306 article-title: Return to sport after coracoid bone block transfer for shoulder instability: a systematic review publication-title: HSS J contributor: fullname: Horner – volume: 23 start-page: 2645 issue: 9 year: 2015 end-page: 2650 article-title: Accuracy of magnetic resonance imaging to diagnose superior labrum anterior-posterior tears publication-title: Knee Surg Sports Traumatol Arthrosc contributor: fullname: Marder – volume: 121 start-page: 841 issue: 4 year: 2008 end-page: 848 article-title: Medical conditions affecting sports participation publication-title: Pediatrics contributor: fullname: Rice – volume: 29 start-page: 2606 issue: 8 year: 2021 end-page: 2615 article-title: Latarjet procedure enables 73% to return to play within 8 months depending on preoperative SIRSI and Rowe scores publication-title: Knee Surg Sports Traumatol Arthrosc contributor: fullname: van Rooij – volume: 27 start-page: 824 issue: 5 year: 2018 end-page: 830 article-title: Treatment of recurrent anterior shoulder instability with the Latarjet or Bristow procedure in older patients publication-title: J Shoulder Elbow Surg contributor: fullname: Auffarth – volume: 35 start-page: 54 issue: 1 year: 2019 end-page: 59 article-title: Minimal clinically important differences and correlating factors for the Rowe score and the American Shoulder and Elbow Surgeons score after arthroscopic stabilization surgery for anterior shoulder instability publication-title: Arthroscopy contributor: fullname: Shin – volume: 12 start-page: 315 issue: 5 year: 2020 end-page: 329 article-title: Outcomes of the Latarjet procedure with minimum 5- and 10-year follow-up: a systematic review publication-title: Shoulder Elbow contributor: fullname: Haunschild – volume: 49 start-page: 2006 issue: 8 year: 2021 end-page: 2012 article-title: Clinical relevance of persistent off-track Hill-Sachs lesion after arthroscopic Latarjet procedure publication-title: Am J Sports Med contributor: fullname: Calvo – volume: 78 start-page: 670 issue: 4 year: 1996 end-page: 677 article-title: Chronic anterior glenohumeral instability publication-title: J Bone Joint Surg Br contributor: fullname: Walch – volume: 49 start-page: 1596 issue: 6 year: 2021 end-page: 1603 article-title: Short-term bone fusion with arthroscopic double-button Latarjet versus open-screw Latarjet publication-title: Am J Sports Med contributor: fullname: Dalmas – volume: 29 start-page: 2364 issue: 7 year: 2021 end-page: 2369 article-title: Type V superior labral anterior-posterior tears results in lower rates of return to play publication-title: Knee Surg Sports Traumatol Arthrosc contributor: fullname: Kilkenny – ident: bibr19-23259671231185199 doi: 10.1016/j.jse.2011.02.005 – ident: bibr21-23259671231185199 doi: 10.1177/0363546519831005 – ident: bibr3-23259671231185199 doi: 10.1007/s00256-016-2525-1 – ident: bibr29-23259671231185199 doi: 10.1177/0363546520988154 – ident: bibr8-23259671231185199 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Snippet | Background:
Up to 20% of shoulders with anterior instability are associated with superior labrum anterior-posterior (SLAP) lesions, and they remain untreated... Up to 20% of shoulders with anterior instability are associated with superior labrum anterior-posterior (SLAP) lesions, and they remain untreated after an open... Background: Up to 20% of shoulders with anterior instability are associated with superior labrum anterior-posterior (SLAP) lesions, and they remain untreated... BackgroundUp to 20% of shoulders with anterior instability are associated with superior labrum anterior-posterior (SLAP) lesions, and they remain untreated... |
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StartPage | 23259671231185199 |
SubjectTerms | Medical imaging Orthopedics Shoulder Sports medicine Surgical outcomes Surgical techniques |
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Title | Outcomes After Open Latarjet in Patients With or Without SLAP Lesions |
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