Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticlesClinical testing for tears of the glenoid labrum?
Section snippets
Methods
A prospective diagnostic protocol was applied to 61 consecutive patients (62 shoulders) undergoing arthroscopy of the shoulder for a variety of activity-related complaints (Table 1). Abbreviation: DJD, degenerative joint disease.Preoperative Primary Diagnosis No. of Shoulders SLAP lesion 15 Labral tear 4 Acromioclavicular DJD 20 Subacromial impingement 21
Results
There were 48 men and 11 women in the study, with an average age of 38 years (range, 15 to 76 years). All but 1 patient could relate their shoulder pain to overuse or injury and all had failed conservative management for their respective problems. There were various mechanisms of the original injury, including overuse in 33 shoulders, dislocation in 17, trauma without dislocation in 6, traction injuries with an eccentric load on the involved upper extremity in 3, and an uncertain mechanism in 1
Discussion
Diagnosis of labral lesions before surgery, with or without MRI, is important for 3 reasons: First, specific patient consent is necessary for the operative repair of a labral lesion. That is, the surgeon cannot repair a labral lesion based on consent for a simple arthroscopic debridement or acromioplasty because the postoperative regime and the associated limitations are significantly different. Second, the availability of specialized equipment for arthroscopic repair of a torn labrum may be an
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