PMID- 35747638
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 4
IP  - 3
DP  - 2022 Jun
TI  - Primary Double-Pulley SLAP Repair in an Active-Duty Military Population With Type 
      II SLAP Lesions Results in Improved Outcomes and Low Failure Rates at Minimum Six 
      Years of Follow-up.
PG  - e1141-e1149
LID - 10.1016/j.asmr.2022.04.009 [doi]
AB  - PURPOSE: To report mid-term outcomes of active-duty patients younger than the age 
      of 35 years with shoulder type II SLAP lesions following our technique for 
      double-pulley SLAP repair (DPSR). METHODS: All consecutive patients aged 18 to 35 
      years from January 2014 through December 2015 who underwent primary DPSR by the 
      senior surgeon with complete outcome scores were identified. The clinical 
      significance measures (patient acceptable symptomatic state [PASS], substantial 
      clinical benefit [SCB], minimal clinically important difference [MCID]) have not 
      yet been fully defined for type II SLAP repair procedures, so the values for 
      biceps tenodesis were used as a stand-in. Patients were excluded if they were 
      lost to follow-up of if they underwent a concomitant rotator cuff repair. Outcome 
      measures were completed by patients within 1 week before surgery and at latest 
      follow-up. RESULTS: Overall, 22 of 41 (53.7%) patients met the inclusion criteria 
      for the study, and all were active-duty military at time of surgery. In total, 21 
      of 22 (95.5%) patients met the PASS, whereas 20 of 22 (90.9%) achieved SCB and 22 
      of 22 (100.0%) exceeded the MCID for their operative shoulder as determined by 
      the American Shoulder and Elbow Surgeons score. In total, 19 of 22 (86.4%) 
      patients met the PASS, whereas 22 of 22 (100.0%) achieved SCB and exceeded the 
      MCID for their operative shoulder as determined by the Single Assessment Numeric 
      Evaluation. In addition, 21 of 22 (95.5%) met the PASS, whereas 22 of 22 (100%) 
      achieved SCB and exceeded the MCID for their operative shoulder as determined by 
      the pain visual analog scale. Pre- and postoperative range of motion did not vary 
      significantly. In total, 18 of 22 (81.8%) of patients remained on active duty and 
      were able to return to preinjury work and recreation activity levels. In 2 
      patients (9.09%), the repair did not heal. CONCLUSIONS: Mid-term outcomes in this 
      population of young, active-duty patients undergoing DPSR for type II SLAP tears 
      demonstrate a statistically and clinically significant improvement in 
      patient-reported outcomes and an overall return to active-duty rate of 81.8%. 
      LEVEL OF EVIDENCE: Level IV, therapeutic case series.
CI  - (c) 2022 The Authors.
FAU - Parnes, Nata
AU  - Parnes N
AD  - Carthage Area Hospital, Carthage, New York, U.S.A.
AD  - Claxton-Hepburn Medical Center, Ogdensburg, New York, U.S.A.
FAU - Sandler, Alexis B
AU  - Sandler AB
AD  - William Beaumont Army Medical Center, El Paso, Texas, U.S.A.
FAU - Dunn, John C
AU  - Dunn JC
AD  - William Beaumont Army Medical Center, El Paso, Texas, U.S.A.
FAU - Duvall, Olivia
AU  - Duvall O
AD  - Carthage Area Hospital, Carthage, New York, U.S.A.
FAU - Scanaliato, John P
AU  - Scanaliato JP
AD  - William Beaumont Army Medical Center, El Paso, Texas, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20220525
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC9210478
EDAT- 2022/06/25 06:00
MHDA- 2022/06/25 06:01
PMCR- 2022/05/25
CRDT- 2022/06/24 02:17
PHST- 2021/12/22 00:00 [received]
PHST- 2022/04/12 00:00 [accepted]
PHST- 2022/06/24 02:17 [entrez]
PHST- 2022/06/25 06:00 [pubmed]
PHST- 2022/06/25 06:01 [medline]
PHST- 2022/05/25 00:00 [pmc-release]
AID - S2666-061X(22)00051-7 [pii]
AID - 10.1016/j.asmr.2022.04.009 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2022 May 25;4(3):e1141-e1149. doi: 
      10.1016/j.asmr.2022.04.009. eCollection 2022 Jun.