Abstract
Arthroscopic refixation of the glenoid labrum has become a standard treatment of type II SLAP lesions although postoperative results are not uniformly good due to factors which are yet unclear. We present the case of an active overhead athlete with an intraarticular posterosuperior impingement syndrome arising from a suture granuloma formation complicating the postoperative course after arthroscopic SLAP repair. The symptoms resolved completely following revision arthroscopy during which the granuloma and the permanent sutures were removed. Implant related complications should be considered when patients present with recurrent pain after arthroscopic SLAP repair using suture anchors, in particular during overhead activity.
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Andrews JR, Carson WG, Mcleod WD (1985) Glenoid labrum tears related to the long head of the biceps. Am J Sports Med 13:337–340
Burkhart SS, Morgan CD (1998) Technical note: the peel-back mechanism. Its role in producing and extending posterior type II SLAP lesions and its effect on SLAP repair rehabilitation. Arthroscopy 14:637–640
Burkhart SS, Morgan CD, Kibler WB (2000) Shoulder injuries in overhead athletes. The “dead arm” revisited. Clin Sports Med 19:125–158
Burkhart SS, Morgan CD, Kibler WB (2003) Current concepts: the disabled throwing shoulder: spectrum of pathology; Part I: pathoanatomy and biomechanics. Arthroscopy 19:404–420
Chan KC, Burkhart SS, Thiagarajan P, Goh JCH (2001) Optimization of stacked half-hitch knots for arthroscopic surgery. Arthroscopy 17:752–759
Field LD, Savoie FH 3rd (1993) Arthroscopic suture repair of superior labral detachment lesions of the shoulder. Am J Sports Med 21:783–790
Ide J, Maeda S, Takagi K (2005) Sports activity after arthroscopic superior labral repair using suture anchors in overhead-throwing athletes. Am J Sports Med 33:507–514
Jobe CM (1995) Posterior superior glenoid impingement: expanded spectrum. Arthroscopy 11:530–537
Jobe FW, Giangarra CE, Kvitne RS et al (1991) Anterior capsulolabral reconstruction of the shoulder in athletes in overhead sports. Am J Sports Med 19:428–434
Jobe CM, Sidles I (1992) Evidence for a superior glenoid impingement upon the rotator cuff: anatomic, kinesiologic, MRI and artbroscopic findings. Presented at the 5th International Conference on Surgery of the Shoulder, July 12–15, Paris, France, (abstr 079)
Kim S, Ha K, Kim S, Choi H (2002) Results of arthroscopic treatment of superior labral lesions. J Bone Joint Surg Am 84:981–985
Lichtenberg S, Magosch P, Habermeyer P (2003) Superior labrum-biceps anchor complex. Orthopade 32:616–626
Mileski RA, Snyder SJ (1998) Superior labral lesions in the shoulder: pathoanatomy and surgical management. J Am Acad Orthop Surg 6:121–131
Pagnani MJ, Speer KP, Altchek DW, Warren RF, Dines DM (1995) Arthroscopic fixation of superior labral lesions using a biodegradable implant: a preliminary report. Arthroscopy 11:194–198
Powell SE, Nord KD, Ryu RKN (2004) Diagnosis, classification and treatment of SLAP lesions. Oper Tech Sports Med 12:99–110
Samani JE, Marston SB, Buss DD (2001) Arthroscopic stablization of type II SLAP lesions using an absorbable tack. Arthroscopy 17:19–24
Sassmannshausen G, Sukay M, Mair SD (2006) Broken or dislodged poly-L-lactic acid bioabsorbable tacks in patients after SLAP lesion surgery. Arthroscopy 22:615–619
Snyder SJ, Banas MP, Karzel RP (1995) An analysis of 140 injuries to the superior glenoid labrum. J Shoulder Elbow Surg 4:243–248
Walch G, Boileau J, Noel F et al (1992) Impingement of the deep surface of the supraspinatus tendon on the posterosuperior glenoid rim: an arthroscopic study. J Shoulder Elbow Surg 1:238–243
Yoneda M, Hirooka A, Saito S, Yamamoto T, Ochi T, Shino K (1991) Arthroscopic stapling for detached superior glenoid labrum. J Bone Joint Surg Br 73:746–750
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Ifesanya, A., Scheibel, M. Posterosuperior suture granuloma impingement after arthroscopic SLAP repair using suture anchors: a case report. Knee Surg Sports Traumatol Arthr 16, 703–706 (2008). https://doi.org/10.1007/s00167-008-0524-z
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DOI: https://doi.org/10.1007/s00167-008-0524-z