Circumferential Lesions of the Glenoid Labrum
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Purpose
Objective: Symptomatic pan-labral or circumferential (360 degree) tears of the glenohumeral labrum are an uncommon injury. The purpose of this study is to report the prospective surgical results of circumferential lesions of the glenoid labrum using validated outcome instruments.
Methods: From July 2003 to May 2006, 41 shoulders in 39 patients with mean age of 25.1 years (range, 17 to 38) were prospectively enrolled in a multi-center study (3 surgeons) and treated for a circumferential (360-degree) lesion of the glenoid labrum. There were 34 men and 5 women, all with a primary diagnosis of pain and recurrent shoulder instability. All patients underwent arthroscopic repair of the circumferential labral tear with a mean of 7.1 suture anchors (range, 6 to 9). The outcomes in 39 of 41 shoulders (92.7% follow-up) were assessed at a mean final follow-up of 31.8 months (range, 24 to 53 months) with VAS pain and instability scales (0 to 10), a physical examination, the Single Assessment Numeric Evaluation Score (SANE), the American Shoulder and Elbow Surgeons Score (ASES), and the SF-12 score.
| Condition |
|---|
|
Shoulder Instability |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Circumferential Lesions of the Glenoid Labrum: A Prospective Cohort Study of Arthroscopic Repair With Minimum 2-Year Follow-up: A Multi-Center Study. |
- ASES score [ Time Frame: 5 years ] [ Designated as safety issue: No ]
- VAS pain [ Time Frame: 5 yrs ] [ Designated as safety issue: No ]
- Visual Analog Score Instability [ Time Frame: 5 years ] [ Designated as safety issue: No ]
- SANE score [ Time Frame: 5 yrs ] [ Designated as safety issue: No ]
- SF-12 score [ Time Frame: 5 years ] [ Designated as safety issue: No ]
| Enrollment: | 39 |
| Study Start Date: | January 2003 |
| Study Completion Date: | August 2008 |
| Primary Completion Date: | August 2008 (Final data collection date for primary outcome measure) |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 17 Years to 38 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Department of Defense active duty members
Inclusion Criteria:
- Surgical documentation of Pan Labral Lesion of shoulder
- Pre-operative documentation of outcomes scores
Exclusion Criteria:
- lacking a Pan labral lesion
- other confounding pathology such as nerve deficit, chondral damage, rotator cuff tear
Contacts and Locations| United States, California | |
| Navy Medical Center San Diego | |
| San Diego, California, United States, 92134 | |
| United States, Colorado | |
| US Air Force Academy | |
| Colorado Springs, Colorado, United States, 80840 | |
| Principal Investigator: | John M Tokish, MD | Society of Military Orthopedic Surgeons |
More Information
Publications:
| Responsible Party: | John M. Tokish, Chief Sports Medicine, USAF Academy, Society of Military Orthopedic Surgeons |
| ClinicalTrials.gov Identifier: | NCT00849927 History of Changes |
| Other Study ID Numbers: | somos 12-04-01 |
| Study First Received: | February 18, 2009 |
| Last Updated: | February 21, 2009 |
| Health Authority: | United States: Federal Government |
Keywords provided by Society of Military Orthopedic Surgeons:
|
shoulder instability labral lesions arthroscopic labral repair SLAP |
triple labrum circumferential labrum Pan-labral lesion |
ClinicalTrials.gov processed this record on May 23, 2013