ABSTRACT
PURPOSE: The purpose of this study was to retrospectively review the clinical results of arthroscopic repair of type II SLAP lesions with respect to daily living activities and return to preinjury sports level. PATIENTS AND METHODS: Twenty-one patients with an average age of 28 (range 18-44 years, respectively) underwent arthroscopic repair of isolated type II SLAP lesions. Surgery was performed by two of the senior authors with specialty training in arthroscopic shoulder surgery. Mean follow-up was 30.3 months (range 12-71 months, respectively). The clinical results were objectively measured using the individual relative Constant score (CS(indiv)). RESULTS: At follow-up the mean CS(indiv) was 92 % (range 78-100 %). Restrictions to active motion were seen in six patients (28.6 %), four (19 %) in internal rotation and two (9.5 %) in external rotation but not all of these were restricted in their activities of daily living. Five patients (23.8 %) had an affected sleep, three patients (14.3 %) were limited in sports and one patient (4.7 %) was restricted at work. After surgery, 18 of 21 patients (85.7 %) regained preinjury sports level. CONCLUSIONS: Although the rehabilitation process may be affected by a protracted period of pain, a long-term limitation of the range of motion (ROM) after surgery is very unlikely. The results in this study are encouraging and the authors recommend anatomic restoration and repair of type II SLAP lesions.
Subject(s)
Arthroscopy/methods , Athletic Injuries/diagnosis , Athletic Injuries/surgery , Cartilage, Articular/injuries , Cartilage, Articular/surgery , Shoulder Injuries , Suture Techniques/instrumentation , Activities of Daily Living , Adolescent , Adult , Female , Humans , Male , Recovery of Function , Retrospective Studies , Shoulder Joint/surgery , Treatment Outcome , Young AdultABSTRACT
BACKGROUND: Primary tumors of the mesentery are rare; only a few cases of malignant fibrous histiocytoma have been reported in the literature. This case report presents the management of a patient with malignantfibrous histiocytoma of the mesentery. CASE REPORT: A 48-year-old woman presented with mild abdominal pain and a palpable tumor in the lower abdomen. Laparatomy revealed a 12x9 cm tumor located in the mesentery and an enlargement of the paraaortic lymph nodes. The tumor was histologically classified as a malignant fibrous histiocytoma, showing a heterologeous picture consisting of large, multinucleated cells and spindle-shaped cells forming a storiform-like growth pattern. A radical excision of the tumor and the lymphnodes was performed and the patient received adjuvant irradiation therapy. Approximately three months later she presented with a great multilobated pelvic mass infiltrating the uterus and the adnexa. The patient underwent total abdominal hysterectomy and bilateral salpingo-oopherectomy to reduce the tumor mass. Two courses of palliative cytotoxic polychemotherapy were applied, but the patient died two months later due to progression of disease. CONCLUSION: Malignant fibrous histiocytoma of the mesentery is an extremely rare, highly malignant neoplasm with early metastatic spread. The treatment of choice is wide surgical excision, while the role of adjuvant chemotherapy and irradiation still remains controversiaL
