Clinical prediction rule for suspected SLAP tears
Recently, the diagnosis of a SLAP lesion is made more frequently and in most of the cases, surgery is the preferred intervention. Nevertheless, outcomes of surgical procedures are mixed and a more uniform diagnostic and treatment process and clear indications for surgery and its timing need to be established.
58 patients with a history of shoulder dysfunction in line with injury to the superior labrum were included. They completed several patient reported outcome measures and a standard history form; on top of that, they underwent a standard physical examination procedure. Following data collection, they received physiotherapy according to a standardized rehabilitation protocol. After six weeks, results were evaluated and the indication for surgery was determined.
This study identified two patient variables that were positively correlated to a recommendation for surgery after rehabilitation: a painful arc in forward flexion and increased anterior scapular position – however, the rehabilitation program led to improvements in patient reported outcome measures and improved function in 31 patients (53%) to that extent that surgery was not necessary.
> From: Moore-Reed et al., Arthroscopy 30 (2015) 1540-1549. All rights reserved to Arthroscopy Association of North America.Click here for the Pubmed summary.