Arthroscopic reconstruction of shoulder's labrum with extensive tears

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Presentation transcript:

Arthroscopic reconstruction of shoulder's labrum with extensive tears Huayang Huang, Xiaofei Zheng, Pingyue Li, Hongyuan Shen International Journal of Surgery Volume 11, Issue 9, Pages 876-881 (November 2013) DOI: 10.1016/j.ijsu.2013.07.015 Copyright © 2013 Surgical Associates Ltd Terms and Conditions

Fig. 1 A 20-year-old male with recurrent dislocation of the right shoulder. A) A SLAP type V lesion was identified, i.e., type II SLAP with combined Bankart lesion. B) The type-V SLAP repair is visualized. A total of 4 anchors were used for the repair. International Journal of Surgery 2013 11, 876-881DOI: (10.1016/j.ijsu.2013.07.015) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

Fig. 2 A 27-year-old female with left shoulder pain in abduction and external rotation. Intraoperatively, a type VIII SLAP lesion (detachment of the biceps tendon anchor with extension of labral tear posteroinferior, i.e., type II SLAP combined with posteroinferior labral tear) was identified. A) Type II SLAP lesion. B) Posterior labral tear (view from the anterior portal). C) The type-VIII SLAP repair is visualized. International Journal of Surgery 2013 11, 876-881DOI: (10.1016/j.ijsu.2013.07.015) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

Fig. 3 A 40-year-old female with limited right shoulder elevation. An unrecognized type of SLAP lesion was identified. A) Type III SLAP lesion with biceps tendon anchor present. B) the labro-capsular periosteal sleeve avulsion extended from the anterosuperior to the posteroinferior labrum, and was dislocated medially over the glenoid to the neck of the glenoid, the biceps tendon and biceps anchor were intact, (arrow). C) Dislocated labro-capsular periosteal complex was reconstructed on the edge of the glenoid using suture anchors. International Journal of Surgery 2013 11, 876-881DOI: (10.1016/j.ijsu.2013.07.015) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

Fig. 4 Shoulder range of motion before and 6 months after surgery. A) Shoulder forward flexion. B) Shoulder external rotation. C) External rotation with the shoulder positioned at 90° abduction. * Indicates significant difference (P < 0.001). International Journal of Surgery 2013 11, 876-881DOI: (10.1016/j.ijsu.2013.07.015) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

Fig. 5 A) ASES, B) VAS, and C) Constant-Murley scores before and 6 months after surgery. * Indicates significant difference (P < 0.001). International Journal of Surgery 2013 11, 876-881DOI: (10.1016/j.ijsu.2013.07.015) Copyright © 2013 Surgical Associates Ltd Terms and Conditions