Scientific Article   |    
Results of Arthroscopic Treatment of Superior Labral Lesions
Seung-Ho Kim, MD; Kwon-Ick Ha, MD; Sang-Hyun Kim, MD; Hee-Joon Choi, MD
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Investigation performed at the Department of Orthopaedic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea

Seung-Ho Kim, MD
Kwon-Ick Ha, MD
Sang-Hyun Kim, MD
Hee-Joon Choi, MD
Department of Orthopaedic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, 50 Ilwon-Dong, Kangnam-Ku, Seoul 135-710, Korea. E-mail address for S.-H. Kim: smcknot@hotmail.com
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

J Bone Joint Surg Am, 2002 Jun 01;84(6):981-985
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Background: The purpose of this study was to evaluate the results of arthroscopic repair of isolated superior labral lesions of the shoulder.

Methods: We evaluated thirty-four patients at a mean of thirty-three months (range, twenty-four to forty-nine months) following arthroscopic repair of an isolated superior labral lesion of the shoulder with suture anchors. The outcome of treatment was evaluated with the University of California at Los Angeles shoulder score and on the basis of the patient's ability to return to prior activities. There were thirty male patients and four female patients with a mean age of twenty-six years (range, sixteen to thirty-five years). Thirty patients were involved in athletic activities, and eighteen of them were engaged in overhead sports.

Results: Repair of the superior labral lesion resulted in a satisfactory University of California at Los Angeles shoulder score for thirty-two patients (94%) and an unsatisfactory score for two. Thirty-one patients (91%) regained their preinjury level of shoulder function. The shoulder score and the return to activity were correlated with the type of sports activity (r = 0.291, p < 0.0001 and r = 0.373, p = 0.010, respectively. Patients participating in overhead sports had significantly lower shoulder scores and a lower percentage of return to their preinjury level of shoulder function compared with patients who were not engaged in overhead activity (p = 0.024 and 0.015, respectively).

Conclusions: Arthroscopic repair of an isolated superior labral lesion is successful in a majority of patients. However, the results in patients who participate in overhead sports are not as satisfactory as those in patients who are not involved in overhead sports.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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