BACKGROUND Adolescent athletes are at risk of sustaining an injury to the posterior and superior labrum of the glenoid. Limited information is available regarding the outcomes of surgical intervention in this specific age cohort. PURPOSE To compare those patients with pure posterior pathology and those with posterior labral tears that involve the biceps anchor (superior labrum anterior-posterior [SLAP] tears) to determine risks for failure in the surgical management. STUDY DESIGN Cohort study; Level of evidence, 3. METHODS A retrospective review was performed on all patients under the age of 19 years over an 8-year period to identify those treated for superior and posterior labral pathology, followed by chart review, radiographic review, and arthroscopic findings. Patient characteristics and other variables were recorded, including cause (traumatic vs atraumatic), activity/sports (overhead vs nonoverhead), involvement of the biceps anchor-crossing the 12-o'clock position (posterior vs SLAP), associated pathologies, outcome scores (Single Assessment Numerical Evaluation [SANE] and Pediatric/Adolescent Shoulder Survey [PASS] scores), and complications. RESULTS Forty-eight patients (30 boys, 18 girls) with a mean age at surgery of 16.5 years (range, 13.5-19 years) were identified who met criteria, with a mean follow-up of 4.1 years (range, 1.3-6.9 years). Nineteen patients had SLAP tears and 29 patients had posterior tears. All but 2 regularly participated in sports at the time of their injury; of the athletes, 26 (56.5%) played an overhead sport and 20 (43.5%) played a nonoverhead sport. The cause of the injury was traumatic in 25 cases (52.1%) and atraumatic in 23 cases (47.9%). Outcome scores were not significantly different between cause or type of sports played; SANE scores were not significantly different by tear type (mean SLAP score, 88.4 compared with mean posterior score, 80.9; P = .124); but the mean PASS score in the SLAP group was 88.7, compared with 76.2 in the posterior group (P = .005) at final assessment. Only 1 SLAP patient had failed management (5.3%) compared with 5 patients in the posterior-only cohort (17.2%). CONCLUSION Posterior SLAP tears have better outcomes and lower failure rates than posterior-only tears in the adolescent population. Posterior-superior labral tears can occur in all sports types with multiple causes, but the only factor that appears to play a role in ultimate outcome is whether the tear crosses under the biceps anchor to the anterior side.

中文翻译：

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青春期后上上盂唇唇病理：二头肌锚的介入会有所作为吗？

背景技术青少年运动员有遭受关节盂的后上唇和上唇受损伤的风险。关于该特定年龄组的手术干预结果的信息有限。目的比较具有纯后部病理学的患者和涉及肱二头肌锚定的后唇裂的患者（上唇后唇[SLAP]眼泪），以确定手术处理失败的风险。研究设计队列研究；证据等级，3。方法回顾性研究在18年内对所有19岁以下的患者进行了为期8年的检查，以鉴定接受上唇和后唇病理治疗的患者，然后进行图表检查，X线检查和关节镜检查。记录患者特征和其他变量，包括病因（创伤性与无创伤性），活动/运动（头顶与非头顶），二头肌锚定器越过12点钟位置（后部与SLAP），相关病理，结果评分（单项评估数值评估[SANE]）和小儿/青少年肩膀调查[PASS]分数）和并发症。结果确定了符合标准的四十八例患者（男30例，女18例），平均手术年龄16.5岁（范围13.5-19岁），平均随访4.1年（范围1.3-6.9岁）。年份）。19例有SLAP眼泪，29例有后眼泪。除2人外，所有受伤时都定期参加运动；的运动员中，有26（56.5％）人参加架空运动，有20（43.5％）人进行非架空运动。受伤原因有25例是外伤性的（52。1％）和无创伤性23例（47.9％）。参加运动的原因或类型之间的结果得分无显着差异；SANE评分在泪液类型方面无显着差异（平均SLAP评分为88.4，而后平均评分为80.9； P = .124）；但在最终评估时，SLAP组的PASS平均得分为88.7，而后组为76.2（P = .005）。仅1名SLAP患者的治疗失败（5.3％），而仅后部队列的5名患者（17.2％）。结论在青春期人群中，后SLAP眼泪比仅后眼泪具有更好的预后和更低的失败率。在所有运动类型中，上唇后泪可发生于多种原因，但似乎在最终结果中起作用的唯一因素是眼泪是否在二头肌锚定下穿过前侧。