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Return to Play of Elite Overhead Athletes with Superior Labral Anterior Posterior Tears only after Rehabilitation
Clinics in Shoulder and Elbow 2017;20:77-83
Published online June 30, 2017
© 2017 Korean Shoulder and Elbow Society.

Jin Young Park, Kyung Ho Hong, Jae Hyung Lee, Kyung Soo Oh1, Seok Won Chung1, Seung Hyub Jeon2, Myung Joo Cha3

Neon Orhopaedic Surgery, 1Department of Orthopedic Surgery, Konkuk University School of Medicine, 2Now Orthopedic Surgery, 3Gem Fitness Center, Seoul, Korea
Correspondence to: Kyung Ho Hong
Neon Otrhopaedic Surgery, 8 Seolleung-ro 131-gil, Gangnam-gu, Seoul 06059, Korea
Tel: +82-2-540-3200, Fax: +82-2-540-3200, E-mail: nahoeya@daum.net
Received September 2, 2016; Revised May 7, 2017; Accepted May 15, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Although there have been multiple reports on surgical outcomes of superior labral anterior to posterior (SLAP) lesions in overhead athletes, only a few reports exist in the literature about the results of nonoperative treatment in elite (collegiate or professional) overhead athletes. To determine the clinical outcomes of nonoperative treatment of SLAP lesions in elite overhead athletes.
Methods: Between January 2006 and December 2011, 69 patients were selected. Initial arthroscopic SLAP repair was performed in 19 patients and of the 50 patients who underwent nonsurgical treatment, such as range of motion gain and periscapular muscle strengthening, 14 patients were converted to surgical treatment; 5 patients were lost to follow-up. Medical records of 31 elite overhead athletes who underwent nonsurgical treatment were retrospectively reviewed. Four clinical outcome measures were used: visual analogue scale (VAS) for pain, VAS for satisfaction, American Shoulder and Elbow Surgeons (ASES) score, and subjective feeling of recovery.
Results: The average follow-up period was 35.9 months (range, 24–62 months). The VAS for pain decreased from 6.5 to 2.2 (p<0.01) and VAS for satisfaction was 7.6. The ASES score increased from 54.1 to 85.9 (p<0.01). The overall average value of subjective feeling of recovery was 72%. Twenty-three out of 31 elite athletes (74.2%) returned to play after rehabilitation; these 23 athletes performed at the same or higher levels after rehabilitation.
Conclusions: Nonsurgical treatment in elite overhead athletes with SLAP lesion should be considered as a treatment option.
Keywords : Superior labral anterior to posterior; Rehabilitation; Elite overhead athletes; Shoulder