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Nonoperative management of superior labrum anterior-posterior tears yielded positive outcomes
Nonoperative management of superior labrum anterior-posterior tears in young active patients produced positive outcomes with significant pain relief, according to results.
Researchers assessed baseline and 6-month data for 63 patients who initially underwent nonoperative treatment for isolated type II superior labrum anterior-posterior tears. A telephone survey was used to evaluate the final outcome. Researchers defined failure as abandonment of nonoperative management for surgery at any time point, less than a 20-point improvement in American Shoulder and Elbow Surgeons (ASES) score at final follow-up or inability to return to activities.
Overall, 45 patients were classified as the success group and 18 patients were classified as the failure group at an average follow-up of 21 months, according to results. At final follow-up, researchers found patients in the success group experienced a statistically significant functional improvement, with improvement in ASES scores and a decrease in VAS scores. According to results of a multivariate analysis, history of trauma, a positive compression-rotation test result and participation in overhead activities were strongly linked with failure of nonoperative treatment. – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.