Weber SC. Am J Sports Med.2012; 214(1):267-271. doi: 10.1177/0363546512447785
The percentage of shoulder cases reported as SLAP lesion repairs by American Board of Orthopedic Surgery part 2 candidates is three times greater than published evidence reinforced by current literature, according to this study.
Researchers searched the American Board of Orthopedic Surgery part 2 database for all SLAP lesions and SLAP repairs performed between 2003 to 2008. They evaluated changes in treatment and identified outcomes and related complications of arthroscopic repair of SLAP lesions. The study population was 78.4% males with a mean age of 36.4 ± 12 years and 21.6% females with a mean age of 40.9 ± 14 years.
Researchers observed 4,975 SLAP repairs, which was 9.4% of all the applicants’ shoulder cases. The percentage of shoulder SLAP repairs increased from 9.4% in 2003 to 10.1% in 2008. During follow-up at 8.9 weeks, 26.3% of patients said the pain was absent and 13.1% reported normal functioning. Overall, 40.1% of applicants self-reported their patients as having outstanding results with a complication rate of 4.4%. There was a higher percentage of SLAP repairs for sports medicine specialists (12.4%) vs. general orthopedic surgeons (9.2%).
“Focusing on educating young orthopedic surgeons to appropriately recognize and treat symptomatic SLAP lesions may bring the rate of SLAP repairs down,” the researchers concluded in the abstract.