Treating SLAP II lesions with sham surgery

We greatly enjoyed reading the most recent article by Shroder et al1 detailing their findings of a well thought out, executed and written-up randomised blinded trial of sham surgery versus labral repair or biceps tenodesis in the surgical management of a SLAP II lesion.

The SLAP lesion, as detailed by the authors, was first described by Snyder et al in 1990.2 The original classification details four distinct lesions of the superior labrum found on shoulder arthroscopy. Since then the classification has been expanded by others but it should be noted that Snyder's classification was based on a traumatic initiating episode causing the lesion, which was only diagnosed on arthroscopy, and not a degenerative process which may be akin to the difference between an acute and degenerative tear of the rotator cuff. Indeed, it should be noted that up to 72% of patients between the ages of 45...

from # All Medicine by Alexandros G. Sfakianakis via alkiviadis.1961 on Inoreader http://ift.tt/2ub5RZE