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العنوان
Arthroscopic management of slap lesion /
المؤلف
El-Yamany, Amr Hussein.
هيئة الاعداد
باحث / عمرو حسين محمود اليماني
مشرف / عادل حسن العدوي
مشرف / السيد محمدي
مناقش / عادل حسن العدوي
الموضوع
Shoulder joint. Arthroscopy.
تاريخ النشر
2017.
عدد الصفحات
145 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2018
مكان الإجازة
جامعة بنها - كلية طب بشري - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

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from 145

Abstract

SLAP lesions can be a source of pain and disability in patients, particularly during overhead activity. Diagnosing a SLAP lesion remains a challenge for clinicians treating shoulder disorders. Clinical examination to detect SLAP lesions can often be difficult because of the presence of concomitant pathology. A wide variety of physical examinations have been described to help diagnose the presence of SLAP lesions. A comprehensive approach, including a thorough history and physical examination, standard shoulder radiographs, and, often, MRI, will most likely allow the clinician to successfully diagnose this condition. Surgical intervention is often a successful option for the patient with a SLAP lesion who wishes to return to optimal function. Addressing concomitant shoulder disorders at the time of surgery as well as recognizing normal superior labral variants are crucial to ensure a successful outcome. Finally, a well-organized postoperative rehabilitation program is mandatory for optimal results, and the patient undergoing such surgery should be well aware of its importance.
Several studies have documented successful surgical treatment of SLAP lesions. The majority of publications address results following surgical repair of type II SLAP lesions, because these are the most common type. In general, approximately 90% of patients demonstrate good or excellent results at the short to intermediate follow-up, but there is a paucity of long term follow-up studies. Several recent publications have provided additional insight into our understanding of surgical results after SLAP repair with tenotomy and tenodesis of the long head of biceps becoming an appealing and increasingly popular alternative especially in older patients.
The present study was conducted on 25 patients with a mean age of 34.56
± 7.07 years for a mean follow up of 12 months. There were 22 males and only 3 females, with 20 dominant shoulders and 5 non-dominant shoulders. The UCLA score improved from 17.56 ± 2.33 preoperatively to 31.40 ±
3.37 at 12 months’ post-operative. The overall patient satisfaction was96%. Furthermore, our results support the good clinical outcome
achieved with SLAP repair especially with younger, traumatic patients, with suture anchors placed either anterior or posterior to the biceps anchor.