SLAP Lesion
Conditions
Brief summary
Biceps Tenodesis Alone Versus Biceps Tenodesis and Labrum Repair in Superior Labrum Anteroposterior ( SLAP) From Type II to Type IV
Detailed description
A SLAP (Superior Labrum Anterior to Posterior) lesion is a specific type of shoulder injury that involves damage to the superior labrum, which is the cartilage rim around the socket of the shoulder joint. This type of injury typically occurs at the long head of the biceps tendon attaches to the labrum. The patient may feel pain, popping sensations and decreased range of motion in the shoulder.1 SLAP lesions are occurring in younger individuals,who playing sports that require repetitive overhead motions and presenting in individuals who have shoulder trauma injury,such as a fall or a direct blow to the shoulder.5There are four main types of SLAP lesions: in this research including from type II to type IV . SLAP type II is characterized by superior part of the labrum , along with the biceps tendon is detached from the glenoid . SLAP type III is characterized by bucket handle tear of the superior labrum , where a piece of the labrum detaches and flips into the shoulder . SLAP type IV is characterized by a bucket-handle tear of the superior labrum that extends into the biceps tendon. The prevalence of SLAP lesions as a cause of shoulder pain is estimated to be around 6-26% in the general population. 2,3,4,5,6Treatment of SLAP lesion is biceps tenodesis which was recently described, used suture anchor for fixation the biceps tendon to proximal humerus to obtain the stability of glenohumeral muscle. Fixation methods include tenodesis through a bone tunnel which have a role in pain relief and maintain biceps muscle strength and have a role in preventing cramping.7,8 Recently treatment of SLAP lesion is repairing the labrum using suture anchors with Biceps tenodesis.1 This study prepared to compare the results of biceps tenodesis alone Versus biceps tenodesis and labrum repair in superior labrum anteroposterior (SLAP) Lesion from type II to type IV .
Interventions
PROCEDUREBiceps tenodesis alone
Biceps tenodesis in superior labrum anteroposterior lesion from type II to type IV
PROCEDUREBiceps tenodesis and labrum repair
Biceps tenodesis and labrum repair by anchors in superior labrum anteroposterior lesion from type II to type IV
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Aim of this study is comparing outcome results of biceps tenodesis alone versus biceps tenodesis and labrum repair in superior labrum anteroposterior ( SLAP) from type II to type IV
Intervention model description
2 parallel groups selected by Randomisation
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Traumatic and degenerative etiology. * No shoulder deformity . * No inflammatory joint disorders. * Type of the SLAP is SLAP lesion from type II to type IV
Exclusion criteria
* History of the disease. * Bilateral shoulder. * DM . * Epilepsy . * psychological disturbance.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical outcome by American shoulder elbow score | 12 months | Examination of the patients and ask them about their pain degree and record the results |
| VAS score | 12months | Examination of the patients and ask them about their pain degree and record the results |
Contacts
Primary ContactAhmed Mohammed, Resident
Backup ContactMohammed Abdel-Hameid, Prof.Dr
Outcome results
None listed