Not All SLAPs Are Created Equal: A Comparison of Patients with Planned and Incidental SLAP Repair Procedures
Joint Authors
Shi, Lewis L.
Dougherty, Mark C.
Kulenkamp, J. Erik
Boyajian, Haroutioun
Koh, Jason L.
Lee, Michael J.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Epidemiological studies have shown a progressive increase in the rate of superior labrum anterior-posterior (SLAP) repair surgery after the year 2000.
However, it is not clear whether this is due to increased recognition of isolated SLAP tears or increased SLAP repair performed secondarily during arthroscopy for other purposes.
Hypothesis/Purpose.
We hypothesized that both isolated SLAP repair and secondary SLAP repair increased with time and that patient age influenced the pathway to SLAP diagnosis and surgery—such that younger patients were more likely to have isolated SLAP repair surgery after being diagnosed in clinic.
Study Design.
Descriptive epidemiology study.
Methods.
Data were obtained from the MarketScan database from 2003 to 2013.
CPT and ICD-9 codes were used to identify SLAP surgery patients and concomitant procedures.
The timing of SLAP diagnosis relative to surgery was used to determine whether the injury was recognized preoperatively.
Results.
64,497 SLAP surgery patients were included.
Preoperative SLAP diagnosis increased from 17.1% in 2003 to 44.6% in 2013.
Patients diagnosed preoperatively were younger and had fewer concomitant procedures.
Increasing age and concomitant rotator cuff tear (RCT) repair corresponded to lower odds of preoperative SLAP diagnosis.
Discussion.
Younger patients were more likely to have their SLAP tear diagnosed prior to surgery.
Those diagnosed before surgery had fewer simultaneous procedures during their operations, suggesting that SLAP repair was more likely the primary operation.
From 2003 to 2013, SLAP tears were increasingly recognized in the preoperative setting.
American Psychological Association (APA)
Dougherty, Mark C.& Kulenkamp, J. Erik& Boyajian, Haroutioun& Koh, Jason L.& Lee, Michael J.& Shi, Lewis L.. 2019. Not All SLAPs Are Created Equal: A Comparison of Patients with Planned and Incidental SLAP Repair Procedures. Advances in Orthopedics،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1121648
Modern Language Association (MLA)
Dougherty, Mark C.…[et al.]. Not All SLAPs Are Created Equal: A Comparison of Patients with Planned and Incidental SLAP Repair Procedures. Advances in Orthopedics No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1121648
American Medical Association (AMA)
Dougherty, Mark C.& Kulenkamp, J. Erik& Boyajian, Haroutioun& Koh, Jason L.& Lee, Michael J.& Shi, Lewis L.. Not All SLAPs Are Created Equal: A Comparison of Patients with Planned and Incidental SLAP Repair Procedures. Advances in Orthopedics. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1121648
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1121648