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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Superior Labrum Anterior Posterior Lesions and Associated Injuries
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Superior Labrum Anterior Posterior Lesions and Associated Injuries

机译：上唇唇前后病变及相关损伤

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Background: Superior labrum anterior posterior (SLAP) lesions often cause shoulder pain, dysfunction, and instability. Professional athletes require a high level of shoulder function for competition and overhead activities. Purpose: To evaluate elite athletes who had arthroscopic surgery for common shoulder pathologies and SLAP lesions with a follow-up of more than 3 years. The associated intra-articular pathologies and return to play were documented. Study Design: Case series; Level of evidence, 4. Methods: Thirty-five shoulders in 34 elite athletes (4 women and 30 men; mean age, 25 years [range, 18-32 years]) had arthroscopic repair of SLAP lesions and accompanying Bankart or rotator cuff tears between January 2008 and November 2011. The documentation included patient symptoms, physical examination, radiological analysis with radiographs, and magnetic resonance imaging. Shoulder function was evaluated preoperatively and at follow-up using American Shoulder and Elbow Surgeons (ASES) and Kerlan Jobe Orthopaedic Clinic (KJOC) scores. The mean follow-up was 52 months. Results: Isolated SLAP lesions were seen in 17.1% of patients, SLAP lesions and partial cuff tear occurred in 25.7%, associated Bankart lesions in 37.1%, full-thickness rotator cuff tears in 8.6%, Bankart and posterior labrum lesions in 8.6%, and Bankart and full-thickness rotator cuff tears in 2.9%. Return to play was a mean 6.4 ± 1.5 months. The mean postoperative ASES and KJOC scores were 89.6 ± 4.6 and 80.9 ± 6.8, respectively, compared with preoperative scores of 64.0 ± 7.2 and 50.5 ± 10.3 ( t test, P < .01). Conclusion: The majority (88.2%) of professional athletes returned to their preinjury levels. SLAP lesions may frequently occur with Bankart lesions and rotator cuff tears. A high rate of return to sport at the same level of athletic performance can be achieved by anatomic repair and effective rehabilitation.
机译：背景：上唇后前方（SLAP）病变通常会引起肩部疼痛，功能障碍和不稳定。职业运动员在比赛和日常活动中需要高水平的肩膀功能。目的：评估接受关节镜手术的精英运动员是否有常见肩部疾病和SLAP病变，并进行3年以上的随访。记录了相关的关节内病变和复位。研究设计：案例系列;证据等级：4。方法：34位精英运动员（45名女性和30名男性;平均年龄25岁，年龄18-32岁）的35个肩膀接受了SLAP病变的关节镜修复，并伴有Bankart或肩袖撕裂在2008年1月至2011年11月之间。文档包括患者症状，体格检查，X射线照片的放射学分析以及磁共振成像。术前和随访时使用美国肩肘外科医师（ASES）和Kerlan Jobe骨科诊所（KJOC）评分评估肩部功能。平均随访52个月。结果：孤立的SLAP病变占17.1％，SLAP病变和部分袖囊撕裂发生率为25.7％，相关的Bankart病变为37.1％，全厚度肩袖撕裂为8.6％，Bankart和后唇的病变为8.6％， Bankart和全厚度肩袖撕裂率为2.9％。重返比赛场平均为6.4±1.5个月。术后ASES和KJOC的平均评分分别为89.6±4.6和80.9±6.8，而术前评分分别为64.0±7.2和50.5±10.3（t检验，P <.01）。结论：大多数职业运动员（88.2％）恢复到受伤前的水平。 SLAP病变可能经常伴有Bankart病变和肩袖撕裂。通过解剖修复和有效的康复，可以在相同水平的运动表现下实现较高的运动回报率。

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