Current Practice for the Diagnosis of a SLAP Lesion: Systematic Review and Physician Survey

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
W Ben Kibler, Aaron Sciascia

Abstract

To evaluate current practice reported in the literature for making a SLAP lesion diagnosis and compare the findings with a survey sent to experienced shoulder surgeons assessing how they make a SLAP diagnosis. We performed a systematic review of articles reporting surgical repair of SLAP lesions, documenting the use of 4 diagnostic areas of evaluation: history, clinical examination, imaging, and diagnostic arthroscopy. A survey was distributed electronically to 175 surgeons with expertise in shoulder surgery. The survey listed common components within the 4 diagnostic areas and asked surgeons to indicate components they used in establishing the diagnosis. The 4 diagnostic areas were ranked from 1 to 4 (most to least important). Of the articles, 23% reported using all 4 diagnostic areas, 58% used 3 areas, and 19% used 2 areas or fewer. Thirty-five percent did not report history components, 31% did not report clinical examination elements, 27% did not report imaging findings, and 4% did not report arthroscopic findings. Eight percent reported using a comprehensive history and examination but without describing specific symptoms or tests. The most common components reported in the literature were pain (42%), the active compression...Continue Reading

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Citations

Dec 15, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Michael J RossiJames H Lubowitz
Dec 15, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James H Lubowitz
Apr 5, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Joshua D Harris
Nov 11, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·W Ben Kibler, Aaron Sciascia
Apr 15, 2016·Clinical Orthopaedics and Related Research·Zahab S AhsanAlbert O Gee
Oct 5, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James H LubowitzJefferson C Brand
Mar 17, 2017·The American Journal of Sports Medicine·Sonal SodhaEdward G McFarland
Feb 15, 2018·Sports Health·Eric J CotterBernard R Bach
Jan 19, 2018·Current Reviews in Musculoskeletal Medicine·Jacob G CalceiJoshua S Dines
Nov 3, 2017·Sports Medicine and Arthroscopy Review·K Linnea WeltonEric C McCarty
May 14, 2021·Open Access Journal of Sports Medicine·Garrett V ChristensenPeter N Chalmers

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