Arthroscopic Management of Type II Superior Labrum Anterior to Posterior (Slap) Lesions: Minimum 2-Year Follow Up

Background: Superior labrum anterior to posterior (SLAP) lesions are tears that expand anteriorly from the posterior superior labrum, including the long head of the biceps tendon originating from the glenoid labrum, and halting before the anterior glenoid notch. Aim of the work: Assessment of clinical outcome of the arthroscopic type II anchor repair of superior labrum anterior to posterior lesions (SLAP).Patients and Methods: This prospective study of Twenty five patients diagnosed as type II superior labrum anterior to posterior (SLAP) lesion.All had been managed by arthroscopic anchors repair started May 2015 till September 2018 in our university hospital.The age ranging from 20 to 48 years wasmean35.23;three patients (12%) females and 22 patients (88%) were males.Type II SLAP lesions that did not respond to nonsurgical treatment and SLAP lesions either isolated or associated with other lesions (Bankart lesion & Partial rotator cuff lesions) were Inclusion criteria.Shoulders with intra-articular chondral damage, full thickness rotator cuff tear, rotator cuff repair, labral repair outside the superior labrum, the bony subacromial decompression, and acromioclavicular joint resection were excluded.Results: Males were 22 (88%) patients and the females were 3 (12%) patients.Their age was ranging from 20 to 48 years with the mean 35.23 years.All were unilaterally affected with 20 patients (80%) dominant side and 5 patients (20%) non-dominant side.athletes were eleven patients (44%), six patients (24%) Labors and Eight patients (32%) workers.University of California at Los Angeles (UCLA) score after 12 months from operation was 33.24 with rang from 22-36.The UCLA score comparison pre-operation with the postoperative UCLA score at six months and one year showed highly significant improvement pre-operative, six months post-operative and the P value after one year post-operation was < 0.001.The relation between sex and UCLA score 6 month post-operative is insignificant (P-value 0.87) and one year (P-value 0.39). Conclusion: Treatment of SLAP lesions by arthroscopy is challenging and provides good functional outcome.