Influence of SLAP Lesions on Chondral Lesions of the Glenohumeral Joint

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2009 Oct 20

PMID 19838677

Citations 9

Authors

Thilo Patzer

Sven Lichtenberg

Jorn Kircher

Petra Magosch

Peter Habermeyer

Affiliations

Soon will be listed here.

Abstract

From 2004 to 2008 we evaluated 431 SLAP lesions during 3,395 shoulder arthroscopies and compared two groups of patients, one with SLAP lesion as group I and one without SLAP lesions as group II. Exclusion of type I SLAP lesions, rotator cuff tears and history of dislocation of the shoulder in both groups left 182 cases in group I, and additionally, exclusion of all-type SLAP lesions left 251 patients in group II. In group I, SLAP lesion-associated chondral lesions were present in 20% at the humerus (4% group II, p = 0.005), 18% at the glenoid (5% in group II, p = 0.05) and 14% glenohumeral (3% group II, p = 0.04). We observed a pattern of typical localization of SLAP-associated chondral lesions at the humerus underneath the biceps tendon (78%) and at the anterior half of the glenoid (63%) in group I in contrast to the central region of the humerus (82%) and the central region at the glenoid (55%) in group II. The association of SLAP and chondral lesions was not influenced by the presence of trauma or age of the patients. SLAP lesions seem to be a risk factor for subsequent early onset of osteoarthritis either caused by a bicipital chondral print or glenohumeral instability or a combination of both.

Citing Articles

Comparison of conventional MR arthrography and 3D volumetric MR arthrography in detection of cartilage defects accompanying glenoid labrum pathologies.

Gokce A, Guclu D, Unlu E, Kazoglu I, Arican M, Ogul H Skeletal Radiol. 2023; 53(6):1081-1090.

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3-Tesla T2 Mapping Magnetic Resonance Imaging for Evaluation of SLAP Lesions in Patients with Shoulder Pain: An Arthroscopy-Controlled Study.

Stein P, Wuennemann F, Schneider T, Zeifang F, Burkholder I, Weber M J Clin Med. 2023; 12(9).

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Arthroscopic Fixation of a Large Osteochondral Fragment From the Glenoid After First Episode Dislocation.

Cohen M, Fonseca R, Moraes R, Pereira M, Motta G Arthrosc Tech. 2020; 9(5):e663-e667.

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The association between a low critical shoulder angle and SLAP lesions.

Patzer T, Wimmer N, Verde P, Hufeland M, Krauspe R, Kubo H Knee Surg Sports Traumatol Arthrosc. 2019; 27(12):3944-3951.

PMID: 31250054 DOI: 10.1007/s00167-019-05569-1.

Thickness Distribution of Glenohumeral Joint Cartilage.

Schleich C, Bittersohl B, Antoch G, Krauspe R, Zilkens C, Kircher J Cartilage. 2017; 8(2):105-111.

PMID: 28345405 PMC: 5358826. DOI: 10.1177/1947603516651669.

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