| Type Ⅱ SLAP Lesion with the Rotator Cuff Tear |
| Jin Sub Kim, Pil Sung Whang, Jung Han Yoo |
| Department of Orthopaedic Surgery, School of Medicine, Hallym University |
| 회전근개 파열과 동반한 Type Ⅱ SLAP 병변 |
| 김진섭, 황필성, 유정한 |
| 한림대학교 의과대학 강남성심병원 정형외과학교실 |
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| Abstract |
Purpose
:We reviewed the SLAP lesions and associated injuries, also evaluated a
hypothesis that the typeⅡposterior SLAP lesion is related with posterior rotator cuff
tear and gives rise to the postero-superior instability.
Materials and methods : The patient recording papers, MRI, video and operation sheets
were reviewed with the 28 SLAP lesions confirmed by the arthroscopy among 242
cases. Among these SLAP lesions, typeⅡ was 22 cases and classified to the anterior,
posterior(16 cases), combined subtype(6 cases) based on the main anatomic location.
There were 14 cases of the typeⅡ accompanying rotator cuff tear. The average
follow-up(13 months) results were evaluated with the ASES and Rowe rating score
after repair or debridement of the SLAP lesions.
Results
: In the typeⅡ lesions accompanying the rotator cuff tears(14 cases), the
posterior(10 cases) and combined type(4 cases), cuff lesions were all existed posteriorly.
Also We could confirm the drive-through sign in the eleven cases, though did not check
the disappearance of this sign after repair because of retrospective study. We could
followed up the 22 cases, 18 cases(77%) were excellent or good, fair 3 cases(14%) and
poor 1 case(4%). Also, typeⅡ lesions with the rotator cuff tear(14 cases) were showed
better results in the repair(8 cases) than the debridement(6 cases) of the unstable typeⅡ
with the cuff repair.
Conclusion
: The typeⅡ lesions were frequently associated with the cuff tear in the
specific location. We could presume the possibility of postero-superior instability in the
SLAP lesion with the cuff injuries. Also, satisfactory results could be experienced when
the unstable SLAP lesions with the cuff tear were repaired at the same time. |
| Key Words:
SLAP lesion, Rotator cuff tear, |
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