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2016, Número 3

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Ortho-tips 2016; 12 (3)


Lesiones del labrum superior: SLAP

Valero GFS, Inzunza EGR

Idioma: Español
Referencias bibliográficas: 55
Paginas: 145-155
Archivo PDF: 648.46 Kb.


RESUMEN

Las lesiones del labrum superior son una afección que se presenta en los deportistas que realizan actividades por arriba de la cabeza como los lanzadores, nadadores, basquetbolistas y entre la población general como resultado de eventos traumáticos. Se han propuesto como causas los eventos traumáticos y los cambios por uso excesivo. El diagnóstico es fundamentalmente clínico y por lo general por exclusión, ya que las pruebas clínicas carecen de alta sensibilidad y especificidad y son exploradores dependientes. Los estudios de imagen por lo regular no brindan claridad de la lesión, pues la correlación entre los estudios y los hallazgos quirúrgicos es baja. Las opciones de tratamiento agrupan al no quirúrgico en pacientes de baja demanda y las opciones quirúrgicas como la reparación versus tenodesis del bíceps largo no demuestran evidencia real de la superioridad de una con respecto a la otra, si bien la tasa de falla de la reparación obliga a seleccionar mejor a los pacientes para dicho tratamiento.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Andrews JR, Carson WG Jr, McLeod WD. Glenoid labrum tears related to the long head of the bíceps. Am J Sports Med. 1985; 13 (5): 337-341.

  2. Snyder SJ, Karzel RP, Del Pizzo W, Ferkel RD, Friedman MJ. SLAP lesions of the shoulder. Arthroscopy. 1990; 6 (4): 274-279.

  3. Snyder SJ, Banas MP, Karzel RP. An analysis of 140 injuries to the superior glenoid labrum. J Shoulder Elbow Surg. 1995; 4 (4): 243-248.

  4. Zhang AL, Kreulen C, Ngo SS, Hame SL, Wang JC, Gamradt SC. Demographic trend in arthroscopic SLAP Repair in the United States. Am J Sports Med. 2012; 40 (5): 1144-1147.

  5. Maffet MW, MD, Gartsman GM, Moseley B. Superior labrum-biceps tendon complex lesions of the shoulder. American Journal of Sports Medicine. 1955; 23 (1): 553-565.

  6. Morgan CD, Burkhart SS, Palmeri M, Gillespie M. Type II SLAP lesions: three subtypes and their relationships to superior instability and rotator cuff tears. Arthroscopy. 1998; 14 (6): 553-565.

  7. Powell SE, MD, Nord KD, Ryu RKN. The diagnosis, classification, and treatment of SLAP lesions. Oper Tech Sports Med. 2004; 12: 99-110.

  8. Clavert P, Bonnomet F, Kempf JF, Boutemy P, Braun M, Kahn JL. Contribution to the study of the pathogenesis of type II superior labrum anterior-posterior lesions: A cadaveric model of a fall on the outstretched hand. J Shoulder Elbow Surg. 2004; 13: 45-50.

  9. Mileski RA, Snyder SJ. Superior labral lesions in the shoulder: pathoanatomy and surgical management. J Am Acad Orthop Surg. 1998; 6: 121-131.

  10. Schöffl V, Popp D, Küpper T, Schöffl I. Injury trends in rock climbers: evaluation of a case series of 911 injuries between 2009 and 2012. Wilderness Environ Med. 2015; 26: 62-67.

  11. Funk L, Snow M. SLAP tears of the glenoid labrum in contact athletes. Clin J Sport Med. 2007; 17: 1-4.

  12. Walch G, Boileau P, Noel E, Donell ST. Impingement of the deep surface of the supraspinatus tendon on the posterosuperior glenoid rim: An arthroscopic study. J Shoulder Elbow Surg. 1992; 1: 238-245.

  13. Jobe CM. Posterior superior glenoid impingement: expanded spectrum. Arthroscopy. 1995; 11: 530-536.

  14. Mihata T, McGarry MH, Neo M, Ohue M, Lee TQ. Effect of anterior capsular laxity on horizontal abduction and forceful internal impingement in a cadaveric model of the throwing shoulder. Am J Sports Med. 2015; 43: 1758-1763.

  15. Drakos MC, Rudzki JR, Allen AA, Potter HG, Altchek DW. Internal impingement of the shoulder in the overhead athlete. J Bone Joint Surg Am. 2009; 91: 2719-2728.

  16. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology Part I: pathoanatomy and biomechanics. Arthroscopy. 2003; 19: 404-420.

  17. Popp D, Schöffl V. Superior labral anterior posterior lesions of the shoulder: Current diagnostic and therapeutic standars. World J Orthop. 2015; 6 (9): 660-671.

  18. Burkhart SS, Morgan CD. The peel-back mechanism: its role in producing and extending posterior type II SLAP lesions and its effect on SLAP repair rehabilitation. Arthroscopy. 1998; 14: 637-640.

  19. Kim TK, Queale WS, Cosgarea AJ, McFarland EG. Clinical features of the different types of SLAP lesions: An analysis of one hundred and thirty-nine cases. J Bone Joint Surg Am. 2003; 85: 66-71.

  20. Bedi A, Allen AA. Superior labral lesions anterior to posterior- evaluation and arthroscopic management. Clin Sports Med. 2008; 27: 607-630.

  21. Keener JD, Brophy RH. Superior labral tears of the shoulder: pathogenesis, evaluation, and treatment. J Am Acad Orthop Surg. 2009; 17: 627-637.

  22. Myers JB, Laudner KG, Pasquale MR, Bradley JP, Lephart SM. Glenohumeral range of motion deficits and posterior shoulder tightness in throwers with pathologic internal impingement. Am J Sports Med. 2006; 34 (3): 385-391.

  23. O’Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB. The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med. 1998; 26 (5): 610-613.

  24. Guanche CA, Jones DC. Clinical testing for tears of the glenoid labrum. Arthroscopy. 2003; 19 (5): 517-523.

  25. Kim SH, Ha KI, Ahn JH, Kim SH, Choi HJ. Biceps load test II: a clinical test for SLAP lesions of the shoulder. Arthroscopy. 2001; 17 (2): 160-164.

  26. Kibler WB. Specificity and sensitivity of the anterior slide test in throwing athletes with superior glenoid labral tears. Arthroscopy. 1995; 11 (3): 296-300.

  27. Liu SH, Henry MH, Nuccion SL. A prospective evaluation of a new physical examination in predicting glenoid labral tears. Am J Sports Med. 1996; 24 (6): 721-725.

  28. Myers TH, Zemanovic JR, Andrews JR. The resisted supination external rotation test. Am J Sports Med. 2005; 33 (9): 1315-1320.

  29. Cook C, Beaty S, MD, Kissenberth MJ, Siffri P, Pill SG, Hawkins RJ. Diagnostic accuracy of five orthopedic clinical tests for diagnosis of superior labrum anterior posterior (SLAP) lesions. J Shoulder Elbow Surg. 2012; 21: 13-22.

  30. Hegedus EJ, Goode AP, Cook CE, Michener L, Myer CA, Myer DM, et al. Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual test. Br J Sports Med. 2012; 46: 964-978.

  31. Kim YJ, Choi JA, Oh JH, Hwang SI, Hong SH, Kang HS. Superior labral anteroposterior tears: accuracy and interobserver realiability of multidetector CT arthrography for diagnosis. Radiology. 2011; 260 (1): 207-215.

  32. Oh JA, Kim JY, Choi JA, Kim WS. Effectiveness of multidetector computed tomography arthrography for the diagnosis of Shoulder pathology: arthroscopic correlation. J Shoulder Elbow Surg. 2010; 19: 14-20.

  33. De Filippo M, Araoz PA, Pogliacomi F, Castagna A, Petriccioli D, Sverzellati N, et al. Recurrent superior labral anterior-to-posterior tears after surgery: detection and grading with CT arthrography. Radiology. 2009; 252 (3): 781-788.

  34. Magee T, Williams D, Mani N. Shoulder MR arthrography: wich patient group benefits most? ARA Am Journal Radiol. 2004; 183: 969-974.

  35. Sheridan K, Kreulen C, Kim S, Mak W, Lewis K, Marder R. Accuracy of magnetic resonance imaging to diagnose superior labrum anterior-posterior tears. Knee Surg Sports Traumatol Arthros. 2014; 23 (9): 2645-2650.

  36. Magee T. 3-T MRI of the shoulder: is MR arthrography necesary? Am J Roentegenol. 2009; 192: 86-92.

  37. Amin MF, Youssef AO. The diagnostic value of magnetic resonance arthrography of the shoulder in detection and grading of SLAP lesions: Comparison with arthroscopic findings. Eur J Radiol. 2012; 81 (9): 2343-2347.

  38. Iqbal HJ, Rani S, A. Brownson MP. Diagnostic value of MR arthrogram in SLAP lesions of the shoulder. Surgeon. 2010; 8: 303-309.

  39. Brockmeyer M, Tompkins M, Kohn DM, Lorbach O. SLAP lesions: a treatment algorithm. Knee Surg Sports Traumatol Arthrosc. 2016; 24 (2): 447-455.

  40. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder/spectrum of pathology part II/evaluation and treatment of SLAP lesions in throwers. Arthroscopy. 2003; 19 (5): 531-539.

  41. Tyler TF, Nicholas SJ, Lee SJ, Mullaney M, McHugh MP. Correction of posterior shoulder tightness in associated with symptom resolution in patients with internal impingement. Am J Sposts Med. 2010; 38: 114-119.

  42. Shin SJ, Lee J, Jeon YS, Ko YW2, Kim RG. Clinical outcomes of non-operative treatment for patients presenting SLAP lesions in diagnostic provocative tests and MR arthrography. Knee Surg Sports Traumatol Arthrosc. 2026; en prensa.

  43. Edwards SL, Lee JA, Bell JE, Packer JD, Ahmad CS, Levine WN, et al. Nonoperative treatment of superior labrum anterior posterior tears. Am J Sports Med. 2010; 38: 1456-1461.

  44. Cordasco FA, Steinmann S, Flatow EL, Bigliani LU. Arthroscopic treatment of glenoid labral tears. Am J Sports Med. 1993; 21 (3): 425-430.

  45. Altchek DW, Warren RF, Wickiewicz TL, Ortiz G. Arthroscopic labral debridement. A three-year follow-up study. Am J Sports Med. 1992; 20 (6): 702-706.

  46. Tomlinson RJ Jr, Glousman RE. Arthroscopic debridement of glenoid labral tears in athletes. Arthroscopy. 1995; 11 (1): 42-51.

  47. Zhang AL, Kreulen C, Ngo SS, Hame SL, Wang JC, Gamradt SC. Demographic trends in arthroscopic SLAP repair in the United States. Am J Sports Med. 2012; 40: 1144-1147.

  48. Steinhaus ME, Makhni EC, Lieber AC, Kahlenberg CA, Gulotta LV, Romeo AA, et al. Variable reporting of functional outcomes and return to play in superior labrum anterior and posterior tear. J Shoulder Elbow Surg. 2016; 25 (11): 1896-1905.

  49. Park JY, Chung SW, Jeon SH, Lee JG, Oh KS. Clinical and radiological outcomes of type 2 superior labral anterior posterior repairs in elite overhead athletes. Am J Sports Med. 2013; 41: 1372-1379.

  50. Neuman BJ, Boisvert B, Reiter B, Lawson K, Ciccotti MG, Cohen SB. Results of arthroscopic repair of type II superior labral anterior posterior lesions in overhead athletes. Assessment of return to preinjury playing level and satisfaction. Am J Sports Med. 2011; 39: 1883-1888.

  51. Provencher MT, McCormick F, Dewing C, McIntire S, Solomon D. A prospective analysis of 179 type 2 superior labrum anterior and posterior repairs: outcomes and factors associated with success and failure. Am J Sports Med. 2013; 41: 880-886.

  52. Boileau P, Parratte S, Chuinard C, Roussanne Y, Shia D, Bicknell R. Arthroscopic treatment of isolated type II SLAP lesion. biceps tenodesis as an alternative to reinsertion. Am J Sports Med. 2009; 37 (5): 929-936.

  53. McCormick F, Nwachukwu BU, Solomon D, Dewing C, Golijanin P, Gross DJ, et al. The efficacy of biceps tenodesis in the treatment of failed superior labral anterior posterior repairs. Am J Sports Med. 2014; 42: 820-825.

  54. Schöffl V, PhD, Popp D, Dickschass J, Küpper T. Superior labral anterior-posterior lesions in rock climbers – primary doublé tenodesis? Clin J Sports Med. 2011; 21 (3): 261-263.

  55. Kibler WB, Sciascia A. Current practice for the surgical treatment of SLAP lesions/a systematic review. Arthroscopy. 2016; 32 (4): 669-683.




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