Return to Sport at Preinjury Level is Common After Surgical Treatment of SLAP Lesions: A Systematic Review and a Meta-analysis.

Gregori, Pietro; Maffulli, Nicola; Abboud, Joseph; Za, Pierangelo; Giurazza, Giancarlo; Papalia, Giuseppe Francesco; Ferrini, Augusto; Franceschetti, Edoardo

Abstract

Patients undergoing surgery for Superior-Labrum-anterior-to-posterior (SLAP) lesions are often worried about their return to sport performance. This systematic review determined the rate of return to sport and return to sport at the previous level (RTSP) after surgery for SLAP lesion. The PRISMA guidelines were followed. Meta-analysis of data through forest plot projections was conducted. Studies were divided and analyzed according to the type of interventions (isolated slap repair or SLAP repair with rotator cuff debridement and biceps tenodesis). The mean overall rate of return to sport after the procedures was 90.6% and the mean overall rate of return to sport at the previous level after the procedures was 71.7%. RTSP rates of the whole population were 71% (95% CI: 60%-80%), 66% (95% CI: 49%-79%), and 78% (95% CI: 67%-87%) for isolated SLAP repair, SLAP repair with the rotator cuff debridement and biceps tenodesis, respectively. A lack of subgroup analysis for the specific performance demand or type of lesion related to the surgical technique used might induce a high risk of bias. Return to sports at the previous level after surgically treated superior labrum anterior to posterior lesion is possible and highly frequent, with the highest rates of RTSP in patients treated with biceps tenodesis. More studies and better-designed trials are needed to enrich the evidence on indications of SLAP surgical treatment in relation to specific sports-level demand. Level-IV. [Abstract copyright: Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.]

Citation

Gregori, P., Maffulli, N., Abboud, J., Za, P., Giurazza, G., Papalia, G. F., …Franceschetti, E. (in press). Return to Sport at Preinjury Level is Common After Surgical Treatment of SLAP Lesions: A Systematic Review and a Meta-analysis. Sports Medicine and Arthroscopy Review, 32(1), 2-11. https://doi.org/10.1097/JSA.0000000000000383

• Journal Article Type: Review
• Acceptance Date: May 2, 2024
• Online Publication Date: May 2, 2024
• Deposit Date: May 20, 2024
• Journal: Sports medicine and arthroscopy review
• Print ISSN: 1062-8592
• Publisher: Lippincott, Williams & Wilkins
• Peer Reviewed: Peer Reviewed
• Volume: 32
• Issue: 1
• Pages: 2-11
• DOI: https://doi.org/10.1097/JSA.0000000000000383
• Keywords: Shoulder Injuries - surgery, Humans, Debridement, Return to Sport, Tenodesis - methods
• Public URL: https://keele-repository.worktribe.com/output/829690