SLAP损伤：一篇观点文章。
SLAP lesions, An Opinion Piece.
作者信息
Schrøder Cecilie P
机构信息
Department Lovisenberg Diaconal Hospital, Oslo, Norway.
出版信息
Open Orthop J. 2018 Jul 31;12:342-345. doi: 10.2174/1874325001812010342. eCollection 2018.
SLAP lesions were first classified by Snyder in 1990. Results of treatment have been controversial without clear consensus. All have agreed that prospective studies would be useful. We conducted such a study between 2008 to 2114 that randomized treatment between sham surgery, biceps tenodesis and labral repair. No significant differences in results between the groups were found. Crossover between groups was only possible from the sham surgery group and this may introduce some degree of bias. However, the six month outcomes between all three groups before any crossover were statistically identical. Our results also do not favor biceps tenodesis SLAP repair when surgery is performed. Based on these results we have narrowed our indications for SLAP lesion surgery. We still treat some SLAP lesions surgically and individualize our treatment in each such cases. Most SLAP lesion patients, however, are ultimately treated non-operatively.
SLAP损伤最早于1990年由斯奈德进行分类。治疗结果一直存在争议，尚无明确共识。所有人都认为前瞻性研究将是有用的。我们在2008年至2014年期间进行了这样一项研究，对假手术、肱二头肌固定术和盂唇修复术进行随机治疗。未发现各组之间的结果有显著差异。组间交叉仅可能来自假手术组，这可能会引入一定程度的偏差。然而，在任何交叉之前，所有三组之间的六个月结果在统计学上是相同的。我们的结果也不支持在进行手术时采用肱二头肌固定术治疗SLAP损伤。基于这些结果，我们缩小了SLAP损伤手术的适应症。我们仍然对一些SLAP损伤进行手术治疗，并在每个此类病例中进行个体化治疗。然而，大多数SLAP损伤患者最终接受非手术治疗。
Zotero 插件