Mohit Dua
Pt.B.D. Sharma University, IndiaTitle: Coexistence of SLAP lesion/glenoid retroversion and articular/bursal sided partial rotator cuff tears in athletic patients
Abstract
The aim of the study was to compare patients who
underwent arthroscopic repair due to articular/bursal side partial rotator cuff
tears in terms of the presence of SLAP lesion and glenoid version measurements.
Methods: Overall, 103 patients who had undergone
shoulder arthroscopy in our institution for bursal-side or articular-side
partial tears between the years 2009 and 2018 were investigated
retrospectively. Sixty-One who underwent arthroscopic treatment for bursal-side
partial thickness tear were included in group 1. Forty-two patients who
underwent arthroscopic treatment for articular-side partial thickness tear were
included in group 2. Video records consisting of the described surgery were
used to evaluate the type of partial-thickness cuff tear and the presence of
SLAP lesion. The glenoid retroversion angle was measured on preoperative
magnetic resonance images.
Results: There were Ten patients with SLAP lesion
(16.5%) in group 1 and Ten patients (23.5%) in group 2. There was a significant
positive correlation in the presence of SLAP lesion and articular-side partial
rotator cuff tear group (p = 0.031). The mean angle of glenoid retroversion was
-1.99° in group 1 whereas -3.05° in group 2. There was a significant difference
between two groups in terms of the average glenoid retroversion angle
(p=0.025).
Conclusion: SLAP lesion rate and glenoid
retroversion were found significantly higher in the articular-sided group
compared to the bursal-sided group in athletic patients. The presence of SLAP
lesion and glenoid version angle should be evaluated preoperatively when
articular sided partial tear is detected. Determining the mechanism causing the
tear in preoperative evaluation may change the treatment plan.
Biography
Mohit Dua, working as an assistant professor in one of the
top medical college India named PT.B.D.Sharma PGIMS situated in Rohtak, Haryana
presently he is in the Department of Sports Medicine and Sports Injury Center
taking care of all the injuries associated with sports including arthroscopy of
knee, shoulder and hip along with arthroplasty of these areas. Before this he was
working in the department of Orthopedics in the same institution where he had
worked mostly on trauma, tumour and paediatric Orthopedics cases. With
experience of more than 8 years in orthopaedics now concentrating mostly in
arthroscopy for the welfare of Sports. Having total of 18 indexed publication
and 15 presentations at international and national level. Have done 4
fellowships including Paediatric orthopaedic from Austria, Arthroplasty from
United Kingdom, oncology from tata memorial hospital and another one from
Europe in Sports medicine department.
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