Arthroscopic management of anterior labrum periosteal sleeve avulsion (ALPSA) lesions: A case series with improved clinical outcomes using a modified technique
Introduction: Anterior labrum periosteal sleeve avulsion (ALPSA) is the avulsion of the labrum and of the non-disrupted periosteum with the subsequent healing of the labrum in a medialized nonfunctional position on the glenoid neck. Obejctive: In this study, a modified technique for arthroscopic rep...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214687320300558 |
| _version_ | 1818449999248228352 |
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| author | Rami Ayoubi Mohammad Darwish Elias Saidy Hicham Abdelnour Joseph Maalouly Dany Aouad Georges El Rassi |
| author_facet | Rami Ayoubi Mohammad Darwish Elias Saidy Hicham Abdelnour Joseph Maalouly Dany Aouad Georges El Rassi |
| author_sort | Rami Ayoubi |
| collection | DOAJ |
| description | Introduction: Anterior labrum periosteal sleeve avulsion (ALPSA) is the avulsion of the labrum and of the non-disrupted periosteum with the subsequent healing of the labrum in a medialized nonfunctional position on the glenoid neck. Obejctive: In this study, a modified technique for arthroscopic repair of ALPSA lesions is presented, along with post operative clinical results and follow up. Method: 72 patients who underwent this procedure were included in this study. Patients with multidirectional instability, more than 20% of glenoid bone loss, and bony Bankart lesions were excluded. Results and conclusion: It was concluded that with this modified technique, a lower recurrence rate post arthroscopic repair of ALPSA lesions was seen with only 4 patients having postoperative recurrence of glenohumeral dislocation which amounts to 5.6%. Moreover, the data also showed a statistically significant improvement of 35.23% between the pre- and postoperative ASES scores. |
| first_indexed | 2024-12-14T20:44:19Z |
| format | Article |
| id | doaj.art-7a270b5afda44b328cf39619dfcec4a0 |
| institution | Directory Open Access Journal |
| issn | 2214-6873 |
| language | English |
| last_indexed | 2024-12-14T20:44:19Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
| spelling | doaj.art-7a270b5afda44b328cf39619dfcec4a02022-12-21T22:48:07ZengElsevierAsia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology2214-68732021-01-012317Arthroscopic management of anterior labrum periosteal sleeve avulsion (ALPSA) lesions: A case series with improved clinical outcomes using a modified techniqueRami Ayoubi0Mohammad Darwish1Elias Saidy2Hicham Abdelnour3Joseph Maalouly4Dany Aouad5Georges El Rassi6St Georges University Medical Center, Beirut, Achrafieh, St Georges Street, LebanonSt Georges University Medical Center, Beirut, Achrafieh, St Georges Street, LebanonSt Georges University Medical Center, Beirut, Achrafieh, St Georges Street, LebanonSt Georges University Medical Center, Beirut, Achrafieh, St Georges Street, LebanonSt Georges University Medical Center, Beirut, Achrafieh, St Georges Street, LebanonSt Georges University Medical Center, Beirut, Achrafieh, St Georges Street, LebanonCorresponding author.; St Georges University Medical Center, Beirut, Achrafieh, St Georges Street, LebanonIntroduction: Anterior labrum periosteal sleeve avulsion (ALPSA) is the avulsion of the labrum and of the non-disrupted periosteum with the subsequent healing of the labrum in a medialized nonfunctional position on the glenoid neck. Obejctive: In this study, a modified technique for arthroscopic repair of ALPSA lesions is presented, along with post operative clinical results and follow up. Method: 72 patients who underwent this procedure were included in this study. Patients with multidirectional instability, more than 20% of glenoid bone loss, and bony Bankart lesions were excluded. Results and conclusion: It was concluded that with this modified technique, a lower recurrence rate post arthroscopic repair of ALPSA lesions was seen with only 4 patients having postoperative recurrence of glenohumeral dislocation which amounts to 5.6%. Moreover, the data also showed a statistically significant improvement of 35.23% between the pre- and postoperative ASES scores.http://www.sciencedirect.com/science/article/pii/S2214687320300558Shoulder arthroscopyAnterior labrum periosteal sleeve avulsionInstability |
| spellingShingle | Rami Ayoubi Mohammad Darwish Elias Saidy Hicham Abdelnour Joseph Maalouly Dany Aouad Georges El Rassi Arthroscopic management of anterior labrum periosteal sleeve avulsion (ALPSA) lesions: A case series with improved clinical outcomes using a modified technique Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology Shoulder arthroscopy Anterior labrum periosteal sleeve avulsion Instability |
| title | Arthroscopic management of anterior labrum periosteal sleeve avulsion (ALPSA) lesions: A case series with improved clinical outcomes using a modified technique |
| title_full | Arthroscopic management of anterior labrum periosteal sleeve avulsion (ALPSA) lesions: A case series with improved clinical outcomes using a modified technique |
| title_fullStr | Arthroscopic management of anterior labrum periosteal sleeve avulsion (ALPSA) lesions: A case series with improved clinical outcomes using a modified technique |
| title_full_unstemmed | Arthroscopic management of anterior labrum periosteal sleeve avulsion (ALPSA) lesions: A case series with improved clinical outcomes using a modified technique |
| title_short | Arthroscopic management of anterior labrum periosteal sleeve avulsion (ALPSA) lesions: A case series with improved clinical outcomes using a modified technique |
| title_sort | arthroscopic management of anterior labrum periosteal sleeve avulsion alpsa lesions a case series with improved clinical outcomes using a modified technique |
| topic | Shoulder arthroscopy Anterior labrum periosteal sleeve avulsion Instability |
| url | http://www.sciencedirect.com/science/article/pii/S2214687320300558 |
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