Our Summary

This research paper focuses on the results of a relatively new technique for repairing shoulder injuries called all-suture anchors. This technique has many potential benefits, including less bone removal and damage, but not many studies have been conducted on it.

The researchers looked at patients who had their shoulder injury repaired using this technique over a six-year period and followed up with them after a minimum of two years. They asked them to rate their shoulder function and pain using two different scoring systems. For athletes, they also looked at whether they could return to the same level of sports they played before their injury.

Out of 529 patients, they were able to collect follow-up data from 372, and 51 of these patients had to have further surgery on the same shoulder. For the remaining 321 patients, their scores significantly improved from before the surgery to the follow-up period. Younger people, athletes, and those with a specific type of tear had higher scores, while patients who also required a biceps procedure had lower scores. Among the athletes, 95% were able to return to their sport at the same level they played before their injury.

Overall, the study suggests that the all-suture anchor technique for repairing shoulder injuries can lead to good results in terms of pain and function, particularly for athletes. However, some patients may require further surgery.

FAQs

  1. What is the all-suture anchor technique for repairing shoulder injuries and what are its potential benefits?
  2. What was the outcome of the study on patients who had their shoulder injury repaired using the all-suture anchor technique?
  3. What is the success rate of the all-suture anchor technique in terms of athletes returning to their sport at the same level as before their injury?

Doctor’s Tip

A helpful tip for a doctor to tell a patient about labral repair using the all-suture anchor technique would be to emphasize the importance of following post-operative rehabilitation protocols to ensure optimal outcomes. This may include physical therapy exercises to strengthen the shoulder muscles, improve range of motion, and prevent stiffness or re-injury. Additionally, the patient should be advised to gradually return to activities and sports as guided by their healthcare provider to prevent any setbacks in their recovery.

Suitable For

Patients who are typically recommended labral repair are those who have shoulder injuries that affect the labrum, such as labral tears or instability. This can include athletes who participate in sports that involve overhead movements, as well as individuals who have experienced trauma to the shoulder or have underlying conditions that predispose them to labral injuries. Additionally, younger patients with specific types of tears may also be good candidates for labral repair using techniques like all-suture anchors.

Timeline

Before labral repair:

  • Patient experiences shoulder pain, instability, and limited range of motion.
  • Patient undergoes diagnostic imaging (such as MRI) to confirm labral tear.
  • Patient consults with orthopedic surgeon to discuss treatment options.
  • Patient schedules surgery for labral repair.

After labral repair:

  • Patient undergoes arthroscopic labral repair using all-suture anchor technique.
  • Patient undergoes post-operative rehabilitation and physical therapy to regain strength and range of motion.
  • Patient follows up with surgeon for periodic evaluations and assessments of progress.
  • Patient reports improvements in pain and shoulder function over time.
  • Patient gradually returns to normal activities and sports, with potential for full recovery and return to pre-injury level of function.

What to Ask Your Doctor

  1. What is the success rate of the all-suture anchor technique for labral repair compared to other techniques?
  2. What are the potential risks and complications associated with this technique?
  3. How long is the recovery time after having labral repair surgery using all-suture anchors?
  4. Will I need physical therapy after the surgery, and if so, for how long?
  5. Are there any specific activities or movements I should avoid during the recovery period?
  6. How soon can I expect to return to my normal daily activities and exercise routine?
  7. Are there any long-term effects or considerations I should be aware of after having labral repair surgery?
  8. What is the likelihood of needing further surgery on the same shoulder in the future?
  9. Are there any alternative treatment options to consider for my shoulder injury?
  10. How experienced are you in performing labral repair surgeries using all-suture anchors?

Reference

Authors: Loeb AE, Moore Z, Ithurburn MP, Kidwell-Chandler AL, Atkinson A, Froom R, Mussell EA, Arceo C, Nguyen C, King E, Shepherd A, Beam J, Nodjomian J, Rothermich MA, Ryan MK, Emblom BA, Cain EL, Dugas JR. Journal: Orthop J Sports Med. 2025 May 19;13(5):23259671251338802. doi: 10.1177/23259671251338802. eCollection 2025 May. PMID: 40395676