Arthroscopy: The Journal of Arthroscopic & Related Surgery
Systematic ReviewThe Outcome of Type II SLAP Repair: A Systematic Review
Section snippets
Methods
We performed a systematic review of the results of repair of type II SLAP lesions. Inclusion criteria included outcome studies of repair of type II SLAP lesions with minimum 2-year follow-up. Additional inclusion criteria included English-language studies with Level IV or higher evidence published in peer-reviewed journals. Exclusion criteria included any labral tear other than a type II SLAP tear; treatment that consisted of simple debridement; treatment associated with full-thickness rotator
Results
The search performed on July 26, 2009, yielded 77 studies that met the first-pass inclusion criteria. Abstracts were reviewed, resulting in 39 articles that were retrieved and reviewed. Full-text review resulted in 12 studies that met the inclusion/exclusion criteria and were included in this systematic review (Table 1). Two authors (K.G. and R.W.W.) independently performed quality appraisal, and potential flaws and biases were identified.
In 1991 Yoneda et al.,9 in a Level IV retrospective case
Discussion
A type II SLAP tear is an injury that commonly afflicts active individuals. It has been noted to cause significant issues for overhead-throwing athletes, particularly baseball pitchers. We have systematically reviewed the literature to evaluate the outcome of type II SLAP repair and identified 12 studies that met the inclusion/exclusion criteria. In general, depending on outcome measured, type II SLAP repair resulted in reasonable overall successful outcomes. However, the majority of studies
Conclusions
After this systematic review of the results of a series of Level III and IV studies, we conclude that arthroscopic repair of type II SLAP tears results in overall excellent results for individuals not involved in throwing or overhead sports. This is even true in patients with significant pathology treated concomitantly. The results of type II SLAP repair in throwing or overhead athletes are much less predictable. Although some of these athletes have successful outcomes, the rate is typically
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The authors report no conflict of interest.